Universidad de Granada Digibug

Repositorio Institucional de la Universidad de Granada >
1.-Investigación >
Departamentos, Grupos de Investigación e Institutos >
Departamento de Medicina Legal, Toxicología y Psiquiatría >
DMLTP - Artículos >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10481/30994

Title: Coerced Hospital Admission and Symptom Change—A Prospective Observational Multi-Centre Study
Authors: Kallert, Thomas W.
Katsakou, Christina
Adamowski, Tomasz
Dembinskas, Algirdas
Fiorillo, Andrea
Kjellin, Lars
Mastrogianni, Anastasia
Nawka, Pětr
Onchev, Georgi
Raboch, Jiri
Schützwohl, Matthias
Solomon, Zahava
Torres González, Francisco
Bremner, Stephen
Priebe, Stefan
Issue Date: 2011
Abstract: [Introduction] Coerced admission to psychiatric hospitals, defined by legal status or patient's subjective experience, is common. Evidence on clinical outcomes however is limited. This study aimed to assess symptom change over a three month period following coerced admission and identify patient characteristics associated with outcomes. [Method] At study sites in 11 European countries consecutive legally involuntary patients and patients with a legally voluntary admission who however felt coerced, were recruited and assessed by independent researchers within the first week after admission. Symptoms were assessed on the Brief Psychiatric Rating Scale. Patients were re-assessed after one and three months. [Results] The total sample consisted of 2326 legally coerced patients and 764 patients with a legally voluntary admission who felt coerced. Symptom levels significantly improved over time. In a multivariable analysis, higher baseline symptoms, being unemployed, living alone, repeated hospitalisation, being legally a voluntary patient but feeling coerced, and being initially less satisfied with treatment were all associated with less symptom improvement after one month and, other than initial treatment satisfaction, also after three months. The diagnostic group was not linked with outcomes. [Discussion] On average patients show significant but limited symptom improvements after coerced hospital admission, possibly reflecting the severity of the underlying illnesses. Social factors, but not the psychiatric diagnosis, appear important predictors of outcomes. Legally voluntary patients who feel coerced may have a poorer prognosis than legally involuntary patients and deserve attention in research and clinical practice.
Sponsorship: he multi-site research project (Acronym: EUNOMIA) “European Evaluation of Coercion in Psychiatry and Harmonisation of Best Clinical Practise” was funded by the European Commission (Quality of Life and Management of Living Resources Programme, contract no. QLG4-CT-2002-01036).
Publisher: Public Library of Science (PLOS)
Keywords: Diagnostic medicine
Law and legal sciences
Medical ethics
URI: http://hdl.handle.net/10481/30994
ISSN: 1932-6203
Citation: Kallert, T.W.; et al. Coerced Hospital Admission and Symptom Change—A Prospective Observational Multi-Centre Study. Plos One, 6(11): e28191 (2011). [http://hdl.handle.net/10481/30994]
Appears in Collections:DMLTP - Artículos

Files in This Item:

File Description SizeFormat
Kallert_CoercedHospital.pdf178.21 kBAdobe PDFView/Open
Recommend this item

This item is licensed under a Creative Commons License
Creative Commons

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.


Valid XHTML 1.0! OpenAire compliant DSpace Software Copyright © 2002-2007 MIT and Hewlett-Packard - Feedback

© Universidad de Granada