Evidence map›Paper›PMID 38937705›Full record

SynthesisBMC psychiatry2024

A qualitative meta-synthesis of service users' and carers' experiences of assessment and involuntary hospital admissions under mental health legislations: a five-year update.

Gergely Bartl, Ruth Stuart, Nafiso Ahmed, Katherine Saunders, Sofia Loizou, Grainne Brady, Hannah Gray, Andrew Grundy, Tamar Jeynes, Patrick Nyikavaranda and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

16 authors.

Gergely Bartl *NIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK.
Ruth Stuart *NIHR Policy Research Unit for Mental Health, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Nafiso AhmedNIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK.
Katherine SaundersNIHR Policy Research Unit for Mental Health, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Sofia LoizouNIHR Policy Research Unit for Mental Health, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Grainne BradyNIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK.
Hannah GrayNIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK.
Andrew GrundyNIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK.
Tamar JeynesLived Experience Working Group, University College London, London, UK.
Patrick NyikavarandaNIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK.
Karen PersaudLived Experience Working Group, University College London, London, UK.
Ari RaadNIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK.
Una FoyeNIHR Policy Research Unit for Mental Health, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Alan SimpsonNIHR Policy Research Unit for Mental Health, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Sonia JohnsonNIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK.
Brynmor Lloyd-EvansNIHR Policy Research Unit for Mental Health, Division of Psychiatry, University College London, London, UK. b.lloyd-evans@ucl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompulsory admissions occur in psychiatric hospitals around the world. They result in coercive and sometimes traumatic experiences for service users and carers. Legal and service reforms in various countries are intended to reduce rates of detention and improve service user experience. We aimed to inform policy and service delivery by providing an up-to-date synthesis of qualitative evidence on service users' and carers' experiences of assessment and detention under mental health legislation, updating previous reviews in which we searched for literature published up to 2018.

methodsWe searched five bibliographic databases for studies published between January 2018 and March 2023. We identified 24 additional studies reporting qualitative investigations of service users' or carers' experiences of assessment or detention under mental health legislation. A team including researchers with relevant personal experience analysed and synthesised data using a thematic synthesis approach.

resultsFindings suggest that views on compulsory admissions and assessment varied: many reports highlighted its often negative, traumatic impacts on emotional well-being and self-worth, with fewer accounts of it as an opportunity to access help and support, accompanied by feelings of relief. Experiences of racial discrimination, inequality of access, and dissatisfaction with support before and after hospital stay were more prominent than in our previous reviews.

conclusionsIncreasing service user and carer involvement in treatment decisions, provision of timely information at key stages of the admission process, training of key personnel, addressing the issue of discrimination, and investing in community alternatives of inpatient care may contribute to and lead to better overall treatment experiences. PROTOCOL REGISTRATION: The study protocol has been registered in the PROSPERO database on 30th May 2023 (CRD42023423439).

Indexed as

CaregiversCommitment of Persons with Psychiatric DisordersQualitative ResearchHospitals, PsychiatricHumansMental DisordersMental Health Services

Identifiers

PMID38937705
PMCPMC11209989

What OpenQuestion holds

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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.