ArticleEpidemiology and psychiatric sciences2024
Effect of coercive measures on mental health status in adult psychiatric populations: a nationwide trial emulation.
Article in Epidemiology and psychiatric sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Involuntary Clozapine Treatment: A Systematic Review.Acta psychiatrica Scandinavica · 2026Pooled it
- Trial
- Psychiatric Care Pathways and the Use of Coercion: From Pre-Hospital to Inpatient Settings.Community mental health journal · 2026Article
- Clinical and Demographic Characteristics of Patients Subjected to Physical Restraint in a Psychiatric Intensive Care Unit: A Retrospective Descriptive Cross-Sectional Study.The Eurasian journal of medicine · 2026Article
- Coercive measures in psychiatry: consensus and controversy in Swiss professional discourse.Frontiers in psychiatry · 2026Article
- Association of psychological resilience and social support with subjective coercion experience in hospitalized psychiatric inpatients: a cross-sectional study.Frontiers in public health · 2026Article
- Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings.Journal of clinical medicine · 2025Article
- Nurse-perpetrated abuse in Japanese psychiatric hospitals: a cross-sectional study of prevalence and correlates.Frontiers in psychiatry · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsHealthcare staff use coercive measures to manage patients at acute risk of harm to self or others, but their effect on patients' mental health is underexplored. This nationwide Swiss study emulated a trial to investigate the effects of coercive measures on the mental health of psychiatric inpatients at discharge.
methodsWe analysed retrospective longitudinal data from all Swiss adult psychiatric hospitals that provided acute care (2019-2021). The primary exposure was any coercive measure during hospitalization; secondary exposures were seclusion, restraint and forced medication. Our primary outcome was Health of the Nations Outcome Scale (HoNOS) score at discharge. We used inverse probability of treatment weighting to emulate random assignment to the exposure.
resultsOf 178,369 hospitalizations, 9.2% (
conclusionsOur study presents robust empirical evidence highlighting the detrimental impact of coercive measures on the mental health of psychiatric inpatients. It underscores the importance of avoiding these measures in psychiatric hospitals and emphasized the urgent need for implementing alternatives in clinical practice.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.