ArticleFrontiers in psychiatry2023
The association between the admission to wards with open- vs. closed-door policy and the use of coercive measures.
Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Prevalence and Predictors of Mechanical Restraint in Involuntary Patients in an Open-Door Inpatient Psychiatric Unit.Actas espanolas de psiquiatria · 2026Article
- Patient journey mapping in an open-door psychiatric inpatient unit.Frontiers in psychiatry · 2026Article
- RutiSafeNet: a behavioral risk and nursing workload monitoring tool for open-door acute inpatient mental health units.Frontiers in psychiatry · 2026Article
- Patient Perspectives on Open-Door Policies in Psychiatry: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Prevalence and risk factors for seclusion and restraint: results of a retrospective analysis.BMC psychiatry · 2025Article
- Relative efficiency of psychiatric clinics in treating cases without coercion and achieving symptom reduction.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Recovery-oriented and trauma-informed care for people with mental disorders to promote human rights and quality of mental health care: a scoping review.BMC psychiatry · 2025Article
- Exploring correlates of high psychiatric inpatient utilization in Switzerland: a descriptive and machine learning analysis.BMC psychiatry · 2024Article
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Authors and funding
8 authors.
Funding
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Abstract
Introduction: Psychiatric treatment on a ward with open-door policy is associated with reduced numbers of coercive measures. The effect of the door policy of previous stays, however, has not been investigated. Methods: The data set consisted of 22,172 stays by adult inpatients in a psychiatric university hospital between 2010 and 2019. Pairs of consecutive stays were built. The outcome variable was the occurrence of coercive measures during the second stay. Results: Compared to treatments on wards with a closed-door policy at both stays, treatments on wards with an open-door policy at the second stay had smaller odds for coercive measures (OR ranging between 0.09 and 0.33, Discussion: Treatment under open-door policy is associated with fewer coercive measures, even in patients with previous experience of closed-door settings. The group of patients who were admitted to a ward with an open-door, then transmitted to a ward with a closed-door policy seem to be prone to experience coercive measures. Clinical strategies to keep these patients in treatment in an open-door setting could further reduce coercive measures.
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