ArticleZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences2026
[Changes in involuntary admission and compliance with legal criteria 10 years after implementation of the Mental Health Law of the People
Article in Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThe Mental Health Law of the People's Republic of China (hereinafter referred to as the Mental Health Law), which came into effect in 2013, restricts involuntary admission to specific circumstances in order to protect the rights and interests of individuals with mental disorders. This study aims to evaluate changes in the rate of involuntary admission and compliance with the legal criteria for involuntary admission among patients with mental disorders 10 years after implementation of the law.
methodsA repeated cross-sectional study design was used. Newly admitted patients were consecutively recruited from the psychiatric wards of the Second Xiangya Hospital, Central South University, over periods of 1 to 2 months in 2012 and 2023, respectively. Sociodemographic and clinical characteristics were collected. Aggressive behavior, social functioning, insight, psychiatric symptoms, and capacity to provide informed consent were quantitatively assessed using the Modified Overt Aggression Scale (MOAS), Social Disability Screening Schedule (SDSS), Insight and Treatment Attitudes Questionnaire (ITAQ), Brief Psychiatric Rating Scale (BPRS), and Semi-Structured Inventory for Competence Assessment (SSICA), respectively. Compliance with the legal criteria for involuntary admission was determined according to the relevant provisions of the Mental Health Law, together with admission diagnoses and scale scores.
resultsA total of 618 patients were included. The overall rates of involuntary admission were 34.7% in 2012 and 30.1% in 2023 (
conclusionsCompared with the period before implementation of the Mental Health Law in 2012, the rate of involuntary admission showed no significant change 10 years after implementation in 2023. A substantial proportion of involuntarily admitted patients still did not meet the legal criteria, indicating that a gap remains between the current legal standards and clinical practice and that further efforts are needed to improve their alignment.
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