Evidence map›Paper›PMID 38205597›Full record

ArticleBJPsych open2024

Comparison of coercive practices in worldwide mental healthcare: overcoming difficulties resulting from variations in monitoring strategies.

Martha K Savage, Peter Lepping, Giles Newton-Howes, Richard Arnold, Vincent S Staggs, Steven Kisely, Toshio Hasegawa, Keith S Reid, Eric O Noorthoorn

Abstract read
In one paragraph

Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

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  8. Abolition of coercion in psychiatry on the horizon? A descriptive ecologic data study from six European countries.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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  16. The contribution ofBJPsych open · 2025
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  18. BJPsych open · 2025
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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

9 authors.

Martha K SavageSchool of Geography, Environment and Earth Sciences, Victoria University of Wellington, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-2080-0676
Peter LeppingCentre for Mental Health and Society, Wrexham Academic Unit, Bangor University, Bangor, UK.ORCID https://orcid.org/0000-0002-3251-5370
Giles Newton-HowesUniversity of Otago, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-5167-1213
Richard ArnoldSchool of Mathematics and Statistics, Victoria University of Wellington, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-1238-1993
Vincent S StaggsUniversity of Missouri-Kansas City and Children's Mercy Research Institute, Kansas City, Missouri, USA (now at IDDI Inc, Raleigh, North Carolina, USA).ORCID https://orcid.org/0000-0002-6232-9149
Steven KiselyThe University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0003-4021-2924
Toshio HasegawaDepartment of Occupational Therapy, Faculty of Health Sciences, Kyorin University, Mitaka, Japan.
Keith S ReidHealth and Life Sciences, Northumbria University, Newcastle upon Tyne, UK; and Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.
Eric O NoorthoornRadboud University Nijmegen, Nijmegen, the Netherlands; and Ggnet Mental Health Trust Warnsveld, Warnsveld, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoercive or restrictive practices such as compulsory admission, involuntary medication, seclusion and restraint impinge on individual autonomy. International consensus mandates reduction or elimination of restrictive practices in mental healthcare. To achieve this requires knowledge of the extent of these practices.

aimsWe determined rates of coercive practices and compared them across countries.

methodWe identified nine country- or region-wide data-sets of rates and durations of restrictive practices in Australia, England, Germany, Ireland, Japan, New Zealand, The Netherlands, the USA and Wales. We compared the data-sets with each other and with mental healthcare indicators in World Health Organization and Organisation for Economic Cooperation and Development reports.

resultsThe types and definitions of reported coercive practices varied considerably. Reported rates were highly variable, poorly reported and tracked using a diverse array of measures. However, we were able to combine duration measures to examine numbers of restrictive practices per year per 100 000 population for each country. The rates and durations of seclusion and restraint differed by factors of more than 100 between countries, with Japan showing a particularly high number of restraints.

conclusionsWe recommend a common set of international measures, so that finer comparisons within and between countries can be made, and monitoring of trends to see whether alternatives to restraint are successful. These measurements should include information about the total numbers, durations and rates of coercive measures. We urge the World Health Organization to include these measures in their Mental Health Atlas.

Indexed as

consent and capacityEpidemiologyethicshuman rightsin-patient treatment

Identifiers

PMID38205597
PMCPMC10790218

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Registered trials

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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.