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dc.contributor.authorKallert, Thomas W.
dc.contributor.authorKatsakou, Christina
dc.contributor.authorAdamowski, Tomasz
dc.contributor.authorDembinskas, Algirdas
dc.contributor.authorFiorillo, Andrea
dc.contributor.authorKjellin, Lars
dc.contributor.authorMastrogianni, Anastasia
dc.contributor.authorNawka, Pětr
dc.contributor.authorOnchev, Georgi
dc.contributor.authorRaboch, Jiri
dc.contributor.authorSchützwohl, Matthias
dc.contributor.authorSolomon, Zahava
dc.contributor.authorTorres González, Francisco
dc.contributor.authorBremner, Stephen
dc.contributor.authorPriebe, Stefan
dc.date.accessioned2014-03-20T09:41:49Z
dc.date.available2014-03-20T09:41:49Z
dc.date.issued2011
dc.identifier.citationKallert, 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]es_ES
dc.identifier.issn1932-6203
dc.identifier.otherdoi: 10.1371/journal.pone.0028191
dc.identifier.urihttp://hdl.handle.net/10481/30994
dc.description.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.es_ES
dc.description.sponsorshiphe 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).es_ES
dc.language.isoenges_ES
dc.publisherPublic Library of Science (PLOS)es_ES
dc.subjectDiagnostic medicinees_ES
dc.subjectEmployment es_ES
dc.subjectHospitals es_ES
dc.subjectLaw and legal scienceses_ES
dc.subjectLegislation es_ES
dc.subjectMedical ethics es_ES
dc.subjectPsychometrics es_ES
dc.subjectSchizophrenia es_ES
dc.titleCoerced Hospital Admission and Symptom Change—A Prospective Observational Multi-Centre Studyes_ES
dc.typejournal articlees_ES
dc.rights.accessRightsopen accesses_ES


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