Evidence map›Paper›PMID 41662028›Full record

ArticlePLOS mental health2025

Exploring pathways to compulsory detention in psychiatric hospital and ways to prevent repeat detentions; Service user perspectives.

Mary Birken, Ariana Kular, Patrick Nyikavaranda, Jordan Parkinson, Lizzie Mitchell, Kathleen Lindsay Fraser, Valerie Christina White, Janet Seale, Jackie Hardy, Cady Stone and 8 more

Abstract read
In one paragraph

Article in PLOS mental health, 2025. 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
–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

2 citing papers in PubMed.

  1. Trial
  2. 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

18 authors.

Mary BirkenDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-8828-2118
Ariana KularDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0003-2840-8086
Patrick NyikavarandaDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-9896-6078
Jordan ParkinsonDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.ORCID https://orcid.org/0009-0003-4045-4939
Lizzie MitchellDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Kathleen Lindsay FraserDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Valerie Christina WhiteDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Janet SealeFINCH Co-Production Group, Division of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Jackie HardyFINCH Co-Production Group, Division of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Cady StoneFINCH Co-Production Group, Division of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Mark Keith HoldenFINCH Co-Production Group, Division of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Tyler ElliotDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.ORCID https://orcid.org/0009-0008-9874-7757
Zishi LiDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Henrietta Mbeah-BankasDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-6289-9419
Lisa WoodDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Fiona LobbanLancashire and South Cumbria NHS Foundation Trust, Preston, United Kingdom.
Brynmor Lloyd-EvansDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Sonia JohnsonDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study, co-produced by a team of academics, lived experience researchers and clinicians, explores the views and experiences of people who have been compulsorily detained in hospital under the Mental Health Act (1983) (MHA) in England, to understand how and why, from their perspective, compulsory detentions occur, and what might help prevent them. Semi-structured qualitative interviews were conducted with 20 people (55% male, 40% Black/Black British, 30% White British) who had been compulsory detained in hospital within the past 5 years. Lived experience researchers with relevant personal experience carried out interviews via telephone or videoconference and participated in analysis of data via a template approach. We derived three over-arching themes from interviews. The first theme "Individual factors increasing or reducing likelihood of being detained" encompassed factors related to people's own lives and attitudes, including life stressors, not taking medication as prescribed, the risk individuals may pose to themselves or others, and their attitude to and management of their mental health. The second theme "Family and Social Network" reflects how attitudes and quality of support from family, friends and social network may contribute to compulsory detentions or help people to stay well. The third theme "Need for improvement in Service Responses" identified limitations of services that contribute to detention, including lack of collaborative care and choice, poor quality of professional support, and discriminatory attitudes from staff. Each theme also included potential approaches to addressing these limitations and reducing compulsory detentions. Findings suggest multiple interacting factors may lead to people being detained in hospital under the MHA, and that improvements to services, such as increasing collaborative care and service user-led family involvement, could prevent further detentions.

Identifiers

PMID41662028
PMCPMC12798403

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.