ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2020
Compulsory admissions of patients with mental disorders: State of the art on ethical and legislative aspects in 40 European countries.
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Article in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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34citing papers in PubMed, 1 pooled it
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34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A qualitative meta-synthesis of service users' and carers' experiences of assessment and involuntary hospital admissions under mental health legislations: a five-year update.BMC psychiatry · 2024Pooled it
- Psychiatric advance directives facilitated by peer workers among people with mental illness: economic evaluation of a randomized controlled trial (DAiP study).Epidemiology and psychiatric sciences · 2023Trial
- Understanding the dynamics of crisis situations in care for community-dwelling older individuals-a qualitative study.Age and ageing · 2026Article
- Legislative differences in compulsory mental health care for children and adolescents across European countries.European child & adolescent psychiatry · 2026Article
- Coercive measures in psychiatry: consensus and controversy in Swiss professional discourse.Frontiers in psychiatry · 2026Article
- The perception of judges regarding compulsory admission of people with severe mental illness in Portugal: a qualitative study.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026Article
- Suicide after involuntary psychiatric care: a nationwide cohort study in Sweden.The Lancet regional health. Europe · 2026Article
- Perceived coercion in psychiatric inpatients: a validation study of the Romanian-language version of the Admission Experience Survey.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026Article
- More pressure, more release? When compulsory care fails: an autonomy-supportive treatment policy as an alternative to failed compulsory care in inpatient care for youth with anorexia nervosa.Frontiers in psychiatry · 2026Article
- Suicide-preventive compulsory admission is not a proportionate measure - time for clinicians to recognise the associated risks.Monash bioethics review · 2025Article
- Protection of human rights during involuntary treatment in mental healthcare services: A European perspective.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Prevention of Violence in an Acute Psychiatric Unit: Spanish Validation of the Brøset Violence Checklist and Assessment of Its Predictive Capacity for Physical Restraint.Journal of psychiatric and mental health nursing · 2025Article
- Determinants of compulsory admission in detainees with acute psychiatric symptoms in the French speaking counties of Switzerland.BMC psychiatry · 2025Article
- Impact and predictive modeling of risk factors for involuntary psychiatric admissions before and during COVID-19: insights from a Romanian tertiary hospital.Frontiers in public health · 2025Observational
- Mental health professionals' beliefs and attitudes towards compulsory admission in Athens: a token of social stigma or good faith in psychiatry?-a cross-sectional study.BMC psychiatry · 2024Article
- Clinical, legal and ethical implications of coercion and compulsory treatment in eating disorders: do rapid review findings identify clear answers or more muddy waters?Journal of eating disorders · 2024Review
- The effect of legal representation on clinical measures in involuntarily admitted psychiatric patients: a retrospective study.Israel journal of health policy research · 2024Article
- Impact of Comorbid Personality Disorder on the Risk of Involuntary Hospitalization in Patients Referred for Urgent Forensic Assessment: A Cross-Sectional Study.Brain sciences · 2024Article
- Legislation and policy for involuntary mental healthcare across countries in the FOSTREN network: rationale, development of mapping survey and protocol.BJPsych open · 2024Article
- Strategies to promote treatment compliance: a grounded theory study with relatives of people with a serious mental health condition.BMC psychiatry · 2024Article
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Authors and funding
86 authors.
D WassermanEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.ORCID 0000-0002-8436-3989
G ApterFrench Federation of Psychiatry, Paris, France.ORCID 0000-0001-5185-1479
C BaekenFlemish Association of Psychiatry, Kortenberg, Belgium.ORCID 0000-0001-9885-3041
S BaileyEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.
J BalazsHungarian Psychiatric Association, Budapest, Hungary.ORCID 0000-0001-6397-1419
C BecNational Centre for Suicide Research and Prevention of Mental-Ill Health, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-2850-8805
P BienkowskiPolish Psychiatric Association, Warsaw, Poland.ORCID 0000-0002-7432-3449
J BobesSpanish Society of Psychiatry, Madrid, Spain.ORCID 0000-0003-2187-4033
M F Bravo OrtizAssociation of Psychiatrists of Spanish Association of Neuropsychiatry, Madrid, Spain.ORCID 0000-0001-7969-9245
H BrunnEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.ORCID 0000-0003-3955-269X
Ö BôkePsychiatric Association of Turkey, Ankara, Turkey.ORCID 0000-0003-1556-5226
N CamilleriMaltese Association of Psychiatry, Attard, Malta.ORCID 0000-0002-8946-3575
B CarpinielloEuropean Psychiatric Association Council of National Psychiatric Associations, Strasbourg, France.ORCID 0000-0002-5385-7871
J ChihaiSociety of Psychiatrists, Narcologists, Psychotherapists, and Clinical Psychologists from the Republic of Moldova, Chișinău, Moldova.ORCID 0000-0002-7720-5544
E ChkoniaSociety of Georgian Psychiatrists, Tbilisi, Georgia.ORCID 0000-0002-8817-9679
P CourtetFrench Congress of Psychiatry, Paris, France.ORCID 0000-0002-6519-8586
D CozmanRomanian Association of Psychiatry and Psychotherapy, Bucharest, Romania.ORCID 0000-0001-7102-2432
M DavidFrench Federation of Psychiatry, Paris, France.
G DomBelgium Professional Association of Medical Specialists in Psychiatry, Brussel, Belgium.ORCID 0000-0001-6492-0429
A EsanuSociety of Psychiatrists, Narcologists, Psychotherapists, and Clinical Psychologists from the Republic of Moldova, Chișinău, Moldova.ORCID 0000-0003-1289-4622
P FalkaiGerman Association for Psychiatry, Psychotherapy and Psychosomatics, Berlin, Germany.ORCID 0000-0003-2873-8667
W FlanneryCollege of Psychiatrists of Ireland, Dublin, Ireland.
K GasparyanArmenian Psychiatric Association, Yerevan, Armenia.ORCID 0000-0001-8884-415X
G GerlingerGerman Association for Psychiatry, Psychotherapy and Psychosomatics, Berlin, Germany.
P GorwoodFrench Congress of Psychiatry, Paris, France.
O GudmundssonIcelandic Psychiatric Association, Kopavogur, Iceland.ORCID 0000-0002-4587-7274
C HanonEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.ORCID 0000-0002-8414-6319
A HeinzGerman Association for Psychiatry, Psychotherapy and Psychosomatics, Berlin, Germany.ORCID 0000-0001-5405-9065
M J Heitor Dos SantosPortuguese Society of Psychiatry and Mental Health, Lisbon, Portugal.
A HedlundSwedish Psychiatry Association, Sundsvall, Sweden.
F IsmayilovAzerbaijan Psychiatric Association, Baku, Azerbaijan.
N IsmayilovAzerbaijan Psychiatric Association, Baku, Azerbaijan.
E T IsometsäFinnish Psychiatric Association, Helsinki, Finland.
L IzakovaSlovak Psychiatric Association, Bratislava, Slovakia.
A KleinbergEstonian Psychiatric Association, Tartu, Estonia.
T KurimayEuropean Psychiatric Association Council of National Psychiatric Associations, Strasbourg, France.
S Klæbo ReitanDepartment of Psychiatry and Psychiatric Rehabilitation, Teaching Department of Semmelweis University, Budapest, Hungary.
D Lecic-TosevskiSerbian Psychiatric Association, Belgrade, Serbia.
A LehmetsEstonian Psychiatric Association, Tartu, Estonia.
N LindbergFinnish Psychiatric Association, Helsinki, Finland.
K A LundbladSwedish Psychiatry Association, Sundsvall, Sweden.
G LynchRoyal College of Psychiatrists, London, United Kingdom.
C MaddockRoyal College of Psychiatrists, London, United Kingdom.
U F MaltNorwegian Psychiatric Association, Oslo, Norway.
L MartinCollege of Psychiatrists of Ireland, Dublin, Ireland.
I MartynikhinRussian Society of Psychiatrists, Moscow, Russian Federation.
N O MarutaAssociation of Neurologists, Psychiatrists and Narcologists of Ukraine, Kharkiv, Ukraine.
F MatthysFlemish Association of Psychiatry, Kortenberg, Belgium.
R MazaliauskieneLithuanian Psychiatric Association, Vilnius, Lithuania.
G MihajlovicSerbian Psychiatric Association, Belgrade, Serbia.
A Mihaljevic PelesCroatian Psychiatric Association, Zagreb, Croatia.
V MiklavicSlovenian Psychiatric Association, Ljubljana, Slovenia.
P MohrCzech Psychiatric Association, Prague, Czech Republic.
M Munarriz FerrandisAssociation of Psychiatrists of Spanish Association of Neuropsychiatry, Madrid, Spain.
M MusalekEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.
N NeznanovRussian Society of Psychiatrists, Moscow, Russian Federation.
G Ostorharics-HorvathHungarian Psychiatric Association, Budapest, Hungary.
I PajevićPsychiatric Association of Bosnia-Herzegovina, Tuzla, Bosnia and Herzegovina.
A PopovaEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.
P PregeljSlovenian Psychiatric Association, Ljubljana, Slovenia.
E PrinsenNetherlands Psychiatric Association, Utrecht, Netherlands.
C RadosAustrian Society for Psychiatry and Psychotherapy, Vienna, Austria.
A RoigAssociation of Psychiatrists of Spanish Association of Neuropsychiatry, Madrid, Spain.
M Rojnic KuzmanCroatian Psychiatric Association, Zagreb, Croatia.
J SamochowiecPolish Psychiatric Association, Warsaw, Poland.
N SartoriusEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.
Y SavenkoIndependent Psychiatric Association of Russia, Moscow, Russian Federation.
O SkugarevskyBelarusian Psychiatric Association, Minsk, Belarus.
E SlodeckiRoyal College of Psychiatrists, London, United Kingdom.
A SoghoyanArmenian Psychiatric Association, Yerevan, Armenia.
D S StoneNational Centre for Suicide Research and Prevention of Mental-Ill Health, Karolinska Institute, Stockholm, Sweden.
R Taylor-EastMaltese Association of Psychiatry, Attard, Malta.
E TeraudsLatvian Psychiatric Association, Riga, Latvia.
C TsopelasPsychiatric Association of Eastern Europe and the Balkans, Athens, Greece.
C TudoseRomanian Association of Psychiatry and Psychotherapy, Bucharest, Romania.
S TyanoEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.
P VallonSwiss Society of Psychiatry and Psychotherapy, Bern, Switzerland.
R J Van der GaagEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.
P VarandasPortuguese Society of Psychiatry and Mental Health, Lisbon, Portugal.
L VavrusovaEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.
P VoloshynAssociation of Neurologists, Psychiatrists and Narcologists of Ukraine, Kharkiv, Ukraine.
J WancataAustrian Society for Psychiatry and Psychotherapy, Vienna, Austria.
J WiseEuropean Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.
Z ZemishlanyIsrael Psychiatric Association, Ramat Gan, Israel.
F ÖncüPsychiatric Association of Turkey, Ankara, Turkey.
S VahipEuropean Psychiatric Association Council of National Psychiatric Associations, Strasbourg, France.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompulsory admission procedures of patients with mental disorders vary between countries in Europe. The Ethics Committee of the European Psychiatric Association (EPA) launched a survey on involuntary admission procedures of patients with mental disorders in 40 countries to gather information from all National Psychiatric Associations that are members of the EPA to develop recommendations for improving involuntary admission processes and promote voluntary care.
methodsThe survey focused on legislation of involuntary admissions and key actors involved in the admission procedure as well as most common reasons for involuntary admissions.
resultsWe analyzed the survey categorical data in themes, which highlight that both medical and legal actors are involved in involuntary admission procedures.
conclusionsWe conclude that legal reasons for compulsory admission should be reworded in order to remove stigmatization of the patient, that raising awareness about involuntary admission procedures and patient rights with both patients and family advocacy groups is paramount, that communication about procedures should be widely available in lay-language for the general population, and that training sessions and guidance should be available for legal and medical practitioners. Finally, people working in the field need to be constantly aware about the ethical challenges surrounding compulsory admissions.
Indexed as
CoercionHospitalizationMental DisordersCommitment of Persons with Psychiatric DisordersEuropeHumansSurveys and QuestionnairesAwarenesscommunicationcompulsory admissioneducationethics and human rightsEuropean Psychiatric Association (EPA)involuntary admissionlegal modelmedical modelNational Psychiatric Associations (NPAs)psychiatry in Europestigma
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