Soins sans consentement et mesures d’isolement en psychiatrie adulte : où en est-on ? L’exemple de la région Centre-Val de Loire via le Programme de médicalisation des systèmes d’information 2012–2017

Olivier, Laurent; Godillon, Lucile; Biotteau, Maëlle; Baron, Stéphanie; Grammatico‐Guillon, Leslie; Laurent, E.

doi:10.1016/j.respe.2020.02.001

Cited by 1 publication

(1 citation statement)

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“…In France, the average length of stay in seclusion rooms was 15 days in 2014 ( 34 ) and 12 days in 2017 ( 35 ). Our study may indicate a significant reduction in seclusion duration.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and correlates of seclusion and mechanical restraint measures in a Parisian psychiatric hospital group

Dauriac-Le Masson,

El-Khoury Lesueur,

Lahaye

et al. 2024

Front. Psychiatry

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IntroductionSeclusion or restraint (S/R) are last-resort measures used in psychiatry to ensure the safety of the patient and the staff. However, they have harmful physical and psychological effects on patients, and efforts to limit their use are needed. We describe the characteristics and correlates of S/R events in four Parisian psychiatric centers.MethodsWithin a 3-month period, November 5, 2018 to February 3, 2019, we recorded data for patients experiencing an S/R measure as well as characteristics of the measures. We studied the mean duration of a S/R event, the time between hospital admission and the occurrence of the event, as well as correlates of these durations. We also examined factors associated with use of a restraint versus a seclusion measure.ResultsFor the 233 patients included, we recorded 217 seclusion measures and 64 mechanical restraints. Seclusion measures mostly occurred after the patient’s transfer from the emergency department. The duration of a seclusion measure was about 10 days. Patients considered resistant to psychotropic treatments more frequently had a longer seclusion duration than others. The mean duration of a mechanical restraint measure was 4 days. Male sex and younger age were associated with experiencing mechanical restraint.DiscussionS/R measures mostly occur among patients perceived as resistant to psychotropic drugs who are arriving from the emergency department. Developing specific emergency department protocols might be useful in limiting the use of coercive measures.

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“…In France, the average length of stay in seclusion rooms was 15 days in 2014 ( 34 ) and 12 days in 2017 ( 35 ). Our study may indicate a significant reduction in seclusion duration.…”

Section: Discussionmentioning

confidence: 99%