Evidence map›Paper›PMID 35891631›Full record

ArticleJournal of Korean Academy of Psychiatric & Mental Health Nursing2022

The impact of court-ordered psychiatric treatment on hospital length of stay: balancing legal and clinical concerns.

Jinah Shin, Maria Chona P San Gabriel, Agnes Ho-Periola, Sheryl Ramer, Youngihn Kwon, Heejung Bang

Open access · diamondAbstract read
In one paragraph

Article in Journal of Korean Academy of Psychiatric & Mental Health Nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Jinah ShinNurse Practitioner, Private Practice, Great Neck, NY, USA.ORCID 0000-0002-9359-2126
Maria Chona P San GabrielAttending Psychiatrist, Icahn School of Medicine at Mount Sinai - Health and Hospitals, Elmhurst, NY, USA.ORCID 0000-0001-7379-2270
Agnes Ho-PeriolaDirector of Nursing Informatics, NYC Health and Hospitals, Elmhurst, NY, USA.ORCID 0000-0003-3987-4496
Sheryl RamerDirector of Health Science Library and Development, NYC Health and Hospitals, Elmhurst, NY, USA.ORCID 0000-0001-9163-9501
Youngihn KwonData Scientist, Insilicogen, Inc., Yongin-si, Gyeonggi-do, Korea.ORCID 0000-0003-1792-224X
Heejung BangProfessor, Division of Biostatistics, Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA.ORCID 0000-0002-5755-9951
Elmhurst Hospital Center · USInsilicogen (South Korea) · KRUniversity of California, Davis · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

Purpose: Psychiatric hospital length of stay (LOS) is not affected solely by socio-clinical factors but also by legal procedures. This study examined the associations between legal procedures and LOS. Methods: Data from 521 patients with psychiatric illnesses hospitalized over 2013-2015 were analyzed. Logistic regression was used to evaluate the predictors of longer (> 14 days) or prolonged (> 30) LOS with socio-clinical factors and legal procedures including court-ordered interventions (assisted outpatient treatment, medication over objection, and retention). Results: Longer LOS occurred in 246 patients and 99 had prolonged LOS. Legal procedures affected 57 patients, with 11 assisted outpatient treatments, 39 cases of medication over objection, and 16 retentions. Longer LOS was significantly associated with six factors including older age, unmarried status, non-Hispanic race, risk of violence, schizophrenia, and legal procedures. Legal procedures had the strongest association. Longer/prolonged LOS yielded qualitatively similar associations. Conclusion: Among 521 psychiatric inpatients, approximately 11% were mandated to receive interventions/procedures by the courts. Court-ordered legal procedures were strongly associated with longer LOS. Mental health providers may consider legal procedures for patients at high treatment/medication noncompliance risk as early as patient admission to inpatient units to prevent, intervene or prepare for a longer or prolonged LOS.

Indexed as

Health policyInpatientsLength of stayMental disordersPsychiatry

Identifiers

PMID35891631
PMCPMC9311333
OpenAlexW4283715824

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.