Coerced hospital admission and symptom change--a prospective observational multi-centre study.

<h4>Introduction</h4>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 a...

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Autores principales: Thomas W Kallert, Christina Katsakou, Tomasz Adamowski, Algirdas Dembinskas, Andrea Fiorillo, Lars Kjellin, Anastasia Mastrogianni, Pětr Nawka, Georgi Onchev, Jiri Raboch, Matthias Schützwohl, Zahava Solomon, Francisco Torres-González, Stephen Bremner, Stefan Priebe
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Publicado: Public Library of Science (PLoS) 2011
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spelling oai:doaj.org-article:0752352dde1547ac8e37d1a81f088c062021-11-18T07:33:20ZCoerced hospital admission and symptom change--a prospective observational multi-centre study.1932-620310.1371/journal.pone.0028191https://doaj.org/article/0752352dde1547ac8e37d1a81f088c062011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22140543/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>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.<h4>Method</h4>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.<h4>Results</h4>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.<h4>Discussion</h4>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.Thomas W KallertChristina KatsakouTomasz AdamowskiAlgirdas DembinskasAndrea FiorilloLars KjellinAnastasia MastrogianniPětr NawkaGeorgi OnchevJiri RabochMatthias SchützwohlZahava SolomonFrancisco Torres-GonzálezStephen BremnerStefan PriebePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 11, p e28191 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Thomas W Kallert
Christina Katsakou
Tomasz Adamowski
Algirdas Dembinskas
Andrea Fiorillo
Lars Kjellin
Anastasia Mastrogianni
Pětr Nawka
Georgi Onchev
Jiri Raboch
Matthias Schützwohl
Zahava Solomon
Francisco Torres-González
Stephen Bremner
Stefan Priebe
Coerced hospital admission and symptom change--a prospective observational multi-centre study.
description <h4>Introduction</h4>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.<h4>Method</h4>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.<h4>Results</h4>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.<h4>Discussion</h4>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.
format article
author Thomas W Kallert
Christina Katsakou
Tomasz Adamowski
Algirdas Dembinskas
Andrea Fiorillo
Lars Kjellin
Anastasia Mastrogianni
Pětr Nawka
Georgi Onchev
Jiri Raboch
Matthias Schützwohl
Zahava Solomon
Francisco Torres-González
Stephen Bremner
Stefan Priebe
author_facet Thomas W Kallert
Christina Katsakou
Tomasz Adamowski
Algirdas Dembinskas
Andrea Fiorillo
Lars Kjellin
Anastasia Mastrogianni
Pětr Nawka
Georgi Onchev
Jiri Raboch
Matthias Schützwohl
Zahava Solomon
Francisco Torres-González
Stephen Bremner
Stefan Priebe
author_sort Thomas W Kallert
title Coerced hospital admission and symptom change--a prospective observational multi-centre study.
title_short Coerced hospital admission and symptom change--a prospective observational multi-centre study.
title_full Coerced hospital admission and symptom change--a prospective observational multi-centre study.
title_fullStr Coerced hospital admission and symptom change--a prospective observational multi-centre study.
title_full_unstemmed Coerced hospital admission and symptom change--a prospective observational multi-centre study.
title_sort coerced hospital admission and symptom change--a prospective observational multi-centre study.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/0752352dde1547ac8e37d1a81f088c06
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