Prevalence, predictors, and patterns of mechanical restraint use for inpatients with dual diagnosis

Lykke, Jørn; Hjorthøj, Carsten; Thomsen, Christoffer Torgaard; Austin, Stephen F.

doi:10.1111/ppc.12367

Cited by 8 publications

(14 citation statements)

References 34 publications

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“…One study reported that males with SCH and comorbid substance abuse were hospitalized more often, and more often subjected to mechanical restraint. 31 Our results concur with many studies that have demonstrated an association between obstetric trauma and SCH, while this association has been less consistently observed for BD. [32][33][34] "Obstetric trauma" encompasses a wide range of birth complications; in the present study patients and/or their caregivers reported hypoxia during birth, premature birth, preeclampsia, and other complications.…”

Section: Discussionsupporting

confidence: 92%

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Family History of Psychiatric Disorders and Clinical Factors Associated With a Schizophrenia Diagnosis

Díaz-Castro

Hoffman

Cabello-Rangel³

et al. 2021

INQUIRY

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Background Schizophrenia (SCH) and bipolar disorder (BD) have both shared and unique genetic risk factors and clinical characteristics. The aim of the present study was to identify potential risk factors significantly associated with SCH, relative to a BD reference group. Methods Data were obtained from medical records of patients that entered a major Mexico City hospital during 2009–2010 presenting psychotic symptoms (n = 1132; 830 cases of SCH, 302 cases of BD; 714 men and 418 women). SCH and BD diagnoses were compared with respect to a number of family and clinical characteristics. Logistic and linear regression analyses were used to respectively identify factors selectively associated with the SCH diagnosis relative to the BD diagnosis and explore the relationship between PANSS scores and parental age at time of birth to the age of SCH onset. Results Patients with SCH showed greater functional impairment than those with BD. Family history of mental illness, premorbid schizoid-like personality, and obstetric trauma were significantly associated with the SCH diagnosis. The association of obstetric trauma with SCH was greatest in male patients with a family history of mental illness. In women, increased paternal and decreased maternal age at time of the patient’s birth were associated with an earlier age of SCH onset. Conclusion Male gender, showing premorbid schizoid-like personality, familial SCH, and obstetric trauma are risk factors that distinguish SCH from BD. Additionally, our results suggest that risk for SCH relative to BD may be importantly influenced by interactions between familial risk, gender, and obstetric trauma.

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Section: Discussionsupporting

confidence: 92%

“…One study reported that males with SCH and comorbid substance abuse were hospitalized more often, and more often subjected to mechanical restraint. 31 …”

Section: Discussionmentioning

confidence: 99%

Family History of Psychiatric Disorders and Clinical Factors Associated With a Schizophrenia Diagnosis

Díaz-Castro

Hoffman

Cabello-Rangel³

et al. 2021

INQUIRY

View full text Add to dashboard Cite

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“…They pointed out that, in all groups, the leading cause for MR was danger, vandalism, or assault, hence supporting the view that aggressive behaviors play a significant role in the causative pathway for it. These findings were substantially confirmed by Lykke et al [24], who found that psychostimulant use was significantly associated with violent and aggressive behaviors and, therefore, with a higher MR risk.…”

supporting

confidence: 74%

Overcoming the Use of Mechanical Restraints in Psychiatry: A New Challenge in the Everyday Clinical Practice at the Time of COVID-19

Berardis

Ventriglio

Fornaro

et al. 2020

JCM

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“…2016; Lykke et al . 2020) and the mean age was around 40 years old (Guzman‐Parra et al . 2020; Jury et al .…”

Section: Discussionmentioning

confidence: 99%

“…2015; Lykke et al . 2020). Furthermore, the most frequent diagnosis was schizophrenia (Guzman‐Parra et al .…”

Section: Discussionmentioning

confidence: 99%

Relationship between nurses' use of verbal de‐escalation and mechanical restraint in acute inpatient mental health care: a retrospective study

Pérez‐Toribio

Poyato

Lluch‐Canut

et al. 2021

Int J Mental Health Nurs

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Although the use of verbal de-escalation in nursing has been shown to be an effective tool for controlling agitation and avoiding mechanical restraint, there is scarce evidence supporting the use of de-escalation by nurses and factors related to the patients who ultimately receive mechanical restraint. This retrospective study sought to examine the relationship between the use of verbal de-escalation by nurses and the clinical profile of patients who had received mechanical restraint at an acute mental health unit. This study analysed the records of patients who had received mechanical restraint between the years 2012 and 2019. A bivariate analysis was initially performed, followed by multiple logistic regression analysis. A total of 493 episodes of restraint were recorded. Of these, in almost 40% of cases, no prior use of verbal de-escalation was noted. The factors associated with the use of verbal de-escalation by nurses were patients with a history of restraint episodes and patients who previously had been administered medication. Furthermore, episodes of mechanical restraint that occurred later during the admission were also associated with the use of de-escalation. These findings confirm the relevance of early nurse interventions. Consequently, it is important to establish an adequate therapeutic relationship from

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Prevalence, predictors, and patterns of mechanical restraint use for inpatients with dual diagnosis

Abstract: Prevalence, predictors and patterns of mechanical restraint use for inpatients with dual diagnosis.

Cited by 8 publications

References 34 publications

Family History of Psychiatric Disorders and Clinical Factors Associated With a Schizophrenia Diagnosis

Family History of Psychiatric Disorders and Clinical Factors Associated With a Schizophrenia Diagnosis

Overcoming the Use of Mechanical Restraints in Psychiatry: A New Challenge in the Everyday Clinical Practice at the Time of COVID-19

Relationship between nurses' use of verbal de‐escalation and mechanical restraint in acute inpatient mental health care: a retrospective study

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