ArticleAnnals of general psychiatry2021
Factors associated with involuntary admissions: a register-based cross-sectional multicenter study.
Article in Annals of general psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 27 citations in OpenAlex.
- Positive associations between mean ambient temperature and involuntary admissions to psychiatric facilities.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Motivational Interviewing in Patients with Acute Psychosis: A Feasibility Study.Schizophrenia bulletin open · 2025Article
- Needs Expressed in Peer-to-Peer Web-Based Interactions Among People With Depression and Anxiety Disorders Hospitalized in a Mental Health Facility: Mixed Methods Study.Journal of medical Internet research · 2024Article
- Article
- A country report: impact of COVID-19 lockdowns on involuntary psychiatric treatment in Austria.BJPsych open · 2023Article
- Article
- Achieving long-term goals through early personalized management of schizophrenia: expert opinion on the role of a new fast-onset long-acting injectable antipsychotic.Annals of general psychiatry · 2023Review
- Status and clinical influencing factors of involuntary admission in chinese patients with schizophrenia.BMC psychiatry · 2022Article
- Are patients improving during and after a psychiatric hospitalisation? Continuity of care outcomes of compulsory and voluntary admissions to an Italian psychiatric ward.Journal of public health research · 2021Article
- Pattern and characteristics of aggression among adults with psychosis during early inpatient stay in an open ward psychiatric facility: A cross-sectional study.Industrial psychiatry journalArticle
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundDespite the EU recommendations on mental health, involuntary admission has been under researched in Italy for a long time and the overall picture of involuntary admission still appears fragmentary. The aims of this study are to evaluate involuntary admission rates in the Piedmont Region (Italy) and to investigate clinical and service-related variables associated with involuntary admission.
methodsThis is a cross-sectional retrospective multicenter study involving all psychiatric inpatients units of the general hospitals of Piedmont Region. Data on hospitalizations during 2016 were collected by consulting hospital discharge registers. The analyses were performed on two samples: 6018 patients (data analysis was run on first hospitalization during the study period for those with multiple admissions) and 7881 inpatient episodes. The association between involuntary admission and socio-demographic and clinical characteristics was examined through t-test for continuous variables, and Pearson's Chi-square test for categorical variables. Multilevel modeling was applied in logistic regression models with two levels: for the first model center and participants and for the second model center and inpatient episodes.
resultsOf 6018 inpatients, 10.1% were admitted involuntarily at first hospitalization, while the overall compulsory treatment rate was slightly lower (9.1%) in the inpatient episodes sample (n = 7881). The involuntary admission rates ranged from 0.8 to 21% among study centers. Involuntary admissions were primarily associated with younger age, diagnosis of schizophrenia or substance use disorders, longer duration of hospital stay, mechanical restraint episodes, and fewer subsequent hospitalizations during the study period.
conclusionsThe rate of involuntary admission in the Piedmont Region was lower than the mean rate across countries worldwide. There were noteworthy differences in rates of involuntary admission among psychiatric units, although no relationship was found with characteristics of the psychiatric wards or of the areas where hospitals are located.
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