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Accumulated coercion and short-term outcome of inpatient psychiatric care
Örebro University, School of Health and Medical Sciences.
Clin Res Ctr, Cent Hosp, Uppsala Univ, Västerås, Sweden.
2010 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 10, p. 53-Article in journal (Refereed) Published
Abstract [en]

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 discharge or after maximum three weeks of care. Coercion was measured as number of coercive incidents, i.e. subjectively reported and in the medical files recorded coercive incidents, including legal status and perceived coercion at admission, and recorded and reported coercive measures during treatment. Outcome was measured both as subjective improvement of mental health and as improvement in professionally assessed functioning according to GAF. Logistic regression analyses were performed with patient characteristics and coercive incidents as independent and the two outcome measures as dependent variables Results: Number of coercive incidents did not predict subjective or assessed improvement. Patients having other diagnoses than psychoses or mood disorders were less likely to be subjectively improved, while a low GAF at admission predicted an improvement in GAF scores Conclusion: The results indicate that subjectively and professionally assessed mental health short-term outcome of acute psychiatric hospitalisation are not predicted by the amount of subjectively and recorded coercive incidents. Further studies are needed to examine the short- and long-term effects of coercive interventions in psychiatric care.

Place, publisher, year, edition, pages
2010. Vol. 10, p. 53-
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-12897DOI: 10.1186/1471-244X-10-53ISI: 000280843300001OAI: oai:DiVA.org:oru-12897DiVA, id: diva2:383436
Available from: 2011-01-05 Created: 2011-01-03 Last updated: 2024-01-17Bibliographically approved

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Kjellin, Lars

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