Risk factors for involuntary psychiatric hospitalisation

Brophy, Lisa; Roper, Cath; Grant, Kellie

doi:10.1016/s2215-0366(19)30442-0

Cited by 5 publications

(5 citation statements)

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“…In this particular historical, social and cultural context, students' attitudes and choice of door locking and other containment measures appear to be more a matter of custom, practice, and tradition at particular units, which despite the longstanding impact of a strong “culture of psychiatry,” have to face the traumatizing aspects of compulsory admissions already proven to pose a serious risk for further compulsory treatment 54,55 . Otherwise, one would not be able to explain how the initial abhorrence for mechanical restraint—a natural human reaction—turned into an acceptance of practice through the professional socialization process.…”

Section: Discussionmentioning

confidence: 99%

“…49,50 In this particular historical, social and cultural context, students' attitudes and choice of door locking and other containment measures appear to be more a matter of custom, practice, and tradition at particular units, which despite the longstanding impact of a strong "culture of psychiatry," have to face the traumatizing aspects of compulsory admissions already proven to pose a serious risk for further compulsory treatment. 54,55 Otherwise, one would not be able to explain how the initial abhorrence for mechanical restraint-a natural human reaction-turned into an acceptance of practice through the professional socialization process. Similarly, Özcan et al 30 indicate that using or witnessing the application of a particular containment measure in an acute care ward leads to higher approval for this measure while Bowers et al 31,33 stress that mental health professionals have more negative attitudes towards types of containment that are not used in their countries and more positive attitudes towards the containment measures that are frequently used in their countries.…”

Section: Discussionmentioning

confidence: 99%

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Locked versus open ward environments and restrictive measures in acute psychiatry in Greece: Nursing students' attitudes and experiences

Misouridou

Zartaloudi

Dafogianni

et al. 2020

Perspect Psychiatr Care

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Purpose: To examine student nurses' attitudes and experiences of door policies and restrictive measures in acute psychiatric care.Methods: A mixed-method study with 274 third-year students.Results: Participants' attitudes towards door locking and other containment measures appeared to be more a matter of custom, practice and tradition at particular units. The therapeutic benefits of open doors was the central organizing element in open units experiences while locked doors appeared to be "invisible" when the locked unit was perceived as a caring environment.Practical Implications: Exploring student nurses' attitudes towards crucial and debatable aspects of mental health practice contributes in cultivating a critical and analytical attitude towards the service they provide necessary for supporting a recovery mental health model and building a strong professional identity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Locked versus open ward environments and restrictive measures in acute psychiatry in Greece: Nursing students' attitudes and experiences

Misouridou

Zartaloudi

Dafogianni

et al. 2020

Perspect Psychiatr Care

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“…Even when the door locking was considered as a necessary part of the work, discomfort with a time-consuming task blurring their professional role and hindering the building of therapeutic alliances was prominent and similar to that of other research [ 21 ]. Structural and cultural characteristics of the psychiatric hospitals of the present study [ 61 ], low staff levels and resources due to the Greek economic crisis of the last decade [ 42 ], previous traumatizing experiences of involuntary hospitalization [ 62 , 63 ] may have also impacted the attempts of mental health nurses in the present study who strived to find space for therapeutic engagement.…”

Section: Discussionmentioning

confidence: 99%

Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors

et al. 2022

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Background There is an increasing trend of door locking practices in acute psychiatric care. The aim of the present study was to illuminate the symbolic dimensions of doors in Greek mental health nurses’ experiences of open and locked working spaces. Results A sequential mixed-method designexplored the experiences of nurses working in both open and locked psychiatric acute care units. Participants experiences revealed four types of doors related to the quality of recovery-oriented care: (a) the open door, (b) the invisible door, (c) the restraining door, and (d) the revolving door. Open doors and permeable spacesgenerated trust and facilitated the diffusion of tension and the necessary perception of feeling safe in order to be involved in therapeutic engagement. When the locked unit was experienced as a caring environment, the locked doors appeared to be “invisible”. The restraining doors symbolized loss of control, social distance and stigma echoing the consequences of restrictingpeople’s crucial control over spaceduring the COVID-19 pandemicin relation toviolence within families, groups and communities. The revolving door (service users’ abscondence/re-admission) symbolised the rejection of the offered therapeutic environment and was a source of indignation and compassion fatigue in both open and locked spaces attributed to internal structural acute care characteristics (limited staffing levels, support, resources and activities for service users) as well as ‘locked doors’ in the community (limited or no care continuity and stigma). Conclusions The impact of COVID-19 restrictions on people’s crucial control of space provides an impetus for erecting barriers masked by the veil of habit and reconsidering the impact of the simple act of leaving the door open/locked to allow both psychiatric acute care unit staff and service users to reach their potential.

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“…Dans différents pays du monde, les critères pour les hospitalisations NV mais aussi pour le traitement sous contrainte semblent similaires mais des différences se trouvent dans le cadre légal ou les procédures. (Brophy et al, 2019;Horn et al, 2022;Jacobsen, 2012;Katsakou & Priebe, 2006;Katsakou et al, 2012;Laengle et al, 2000;Lay et al, 2011;Luciano et al, 2018;Moreau, 2017;Salize & Dressing, 2004;Silva et al, 2018;Spence et al, 1988;Walker et al, 2021;Wierdsma et al, 2007;World Health, 1992;Xu et al, 2019;Zinkler & Priebe, 2002). Jusqu'à la fin de 2012 cette mesure de placement été nommé "privation de liberté à des fins d'assistance" (PLAFA) (Schuler, 2016).…”

Section: Résuméunclassified

Quel profil pour les hospitalisations non volontaires en psychiatrie ?

Diringer¹

2022

Cortica

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La psychiatrie a une place à part parmi les spécialités médicales concernant les hospitalisations contre la volonté du patient. Jusqu’en 2012 il s’agissait de privation de liberté à de fin d’assistance. A partir du 1.01.2013 un nouveau Code Civil a été adopté en Suisse. Les articles 426 à 429 mettent en place le placement à des fins d’assistance (PAFA), une mesure de protection pour la personne. Notre étude rétrospective du 2014-2016 a comme objectives (1) d’amener des connaissances de certains paramètres expliquant les hospitalisations non volontaires ; (2) de répondre à la question : Pouvons-nous considérer ce type d’hospitalisation comme une expérience clinique ? Les résultats principaux démontrent : Deux facteurs étaient significatifs à un niveau de valeur p ≤ 0,05 : (a) Vivre dans un établissement d'accueil (foyer), augmente la probabilité d'avoir un PAFA (p = 0,04) ; (b) Le fait d'être diagnostiqué comme ayant des troubles psychotiques, liés à des substances psychoactives augmente la probabilité d'avoir du PAFA (p = 0,01). Trois facteurs supplémentaires sont significatifs : être un homme (p = 0,0655) et vivre seul (p = 0,05) augmente la probabilité d'avoir un PAFA, cependant la variable âge (p = 0,03) diminue la probabilité d'avoir un PAFA (ce qui signifie que plus vous êtes âgé, plus la probabilité d'avoir un PAFA est faible). Les hospitalisations sous contrainte trouvent une place d'exception dans le champ médical de la psychiatrie. Et pourtant ne sont pas une fatalité. Les implications éthiques, légaux, cliniques qui sont lies aux hospitalisations non volontaires amènent une lumière particulière à ce type de prise en charge psychiatrique.

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Risk factors for involuntary psychiatric hospitalisation

Cited by 5 publications

References 9 publications

Locked versus open ward environments and restrictive measures in acute psychiatry in Greece: Nursing students' attitudes and experiences

Locked versus open ward environments and restrictive measures in acute psychiatry in Greece: Nursing students' attitudes and experiences

Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors

Quel profil pour les hospitalisations non volontaires en psychiatrie ?

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