Epidemiology of inpatient violence and coercive measures
نویسنده
چکیده
Methods Many studies have been conducted on the epidemiology of in-patient violence by use of standardized scales such as the SOAS-R. Much research on patient and environment characteristics has been compromised by methodological flaws such as sample selection bias. Epidemiological data on the use of coercive measures is scarcely available in most countries, and different ways of reporting render comparisons difficult.
منابع مشابه
Who is Subjected to Coercive Measures as a Psychiatric Inpatient? A Multi-Level Analysis
BACKGROUND For a reduction in the use of coercive interventions it will be necessary to identify patients at risk. The aim of this study was to explore the impact of basic patient characteristics at admission, history within 24 hours before admission, and living conditions on the risk of experiencing coercive measures, controlling for ward characteristics in a multi-level approach. METHODS Pa...
متن کاملUse of Coercive Measures during Involuntary Psychiatric Admission and Treatment Outcomes: Data from a Prospective Study across 10 European Countries
To assess the association between different types of coercive measures (forced medication, seclusion, and restraint) used during involuntary psychiatric admission and two treatment outcomes: retrospective views of patients towards their admission and length of inpatient stay. A secondary analysis was conducted of data previously gathered by the EUNOMIA study (n = 2030 involuntarily detained inp...
متن کاملSuccessful interventions on an organisational level to reduce violence and coercive interventions in in-patients with adjustment disorders and personality disorders
BACKGROUND Self-directed and other violence as well as subsequent coercive interventions occur in a substantial proportion of patients with personality disorders during in-patient treatment. Different strategies may be required to reduce coercive interventions for patients of different diagnostic groups. METHODS We specialised one of our acute admission wards in the treatment of personality d...
متن کاملAccumulated coercion and short-term outcome of inpatient psychiatric care
BACKGROUND The knowledge of the impact of coercion on psychiatric treatment outcome is limited. Multiple measures of coercion have been recommended. The aim of the study was to examine the impact of accumulated coercive incidents on short-term outcome of inpatient psychiatric care METHODS 233 involuntarily and voluntarily admitted patients were interviewed within five days of admission and at...
متن کاملPatient-centered, recovery-oriented psychiatric care and treatment are not always voluntary.
Explicitly coercive measures are sometimes necessary in the care and treatment of psychiatric patients. The author describes how use of such measures is not antithetical to patient-centered, recovery-oriented practice either in inpatient or outpatient settings. Citing a definition widely used by advocates to describe the overarching goal of recovery--"a full, meaningful, and self-determined lif...
متن کامل