Voluntary and Involuntary Psychiatric Admissions in China

Zhou, Jiansong; Xiang, Yu‐Tao; Lee, Seonjoo; Liang, Wei; Li, Haien; Yi, Jialong; Liu, Fei; Zhao, Na; Chen, Gang; Shi, Shulin; Li, Guoping; Shen, Danlin; Wei, Ning; Qi, Fang; Wei, Tan; Ungvári, Gábor S.; Ng, Chee H.; Wei, Hao; Li, Lingjiang; Wang, Xiaoping

doi:10.1176/appi.ps.201400566

Cited by 34 publications

(43 citation statements)

References 39 publications

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“…Second, the most frequent diagnoses among involuntary admissions were bipolar disorder and related disorders and schizophrenia and other psychosis. Several authors confirmed our findings regarding both schizophrenia and other psychoses (Craw & Compton 2006;Bauer et al 2007;Pantusa et al 2007;Zhou et al 2015) and bipolar and related disorders (Lee et al 2007;Schuepbach et al 2008;Amr & Volpe 2012). Third, analyzing the monthly distribution of admissions, we observed a significant increase of involuntary hospitalizations during changes of season in particular in spring/summer with a peak in June.…”

Section: Discussionsupporting

confidence: 88%

“…The prevalence was 15.4% in our sample and these results are in agreement to the national Italian data (Guaiana & Barbui 2004;Barbato & D'Avanzo 2005;Pantusa et al 2007). In the european and worldwide clinical trials, the prevalence of involuntary hospitalization ranges from 3.2% and 42% (Zinkler & Priebe 2002;Salize & Dressing 2004;Zhou et al 2015;Lastly, Rittmannsberger et al 2004) conducted a multicentre study involving twenty-four European countries and reported a prevalence of involuntary hospitalizations corresponding to 11.4%, evaluated in a single day. Prevalence and criteria of involuntary admissions change widely across different countries; some possible explanations refer to differences among legislature (Riecher-Rossler & Rossler 1993;Zinkler & Priebe 2002;Salize & Dressing 2004), organization of the mental health services (Lelliott & Audini 2003), culture and ethnicity (Riecher-Rossler & Rossler, 1993;, professional ethic (Zinkler & Priebe 2002;Zhou et al 2015) and social pressures on psychiatrists (Hotopf et al 2000).…”

Section: Discussionmentioning

confidence: 99%

“…The criteria for involuntary admission in psychiatric ward are (a) the patient experiences mental changes that require an urgent therapeutic intervention; (b) the patient does not accept treatment; (c) there are no conditions enabling them to take other timely and adequate therapeutic measures outside those achieved in hospitals. The Law states that compulsory admissions need to be formally authorized by the Mayor of the Municipality where the patient lives and can be only undertaken in acute psychiatric wards located in public general hospitals (Amaddeo et al 2012;Bauer et al 2007;Pantusa et al 2007;Zhou et al 2015;Donisi et al 2016). On the other hand, some studies have considered bipolar disorder, especially mixed and manic episodes, as one of the main diagnosis related to the involuntary admission (Lee et al 2007;Schuepbach et al 2008;Amr & Volpe 2012).…”

Section: Objectivementioning

confidence: 99%

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Involuntary admissions in Italy: the impact of seasonality

Aguglia

Moncalvo

Solia

et al. 2016

International Journal of Psychiatry in Clinical Practice

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Objective: The aim of this study is to assess the prevalence of involuntary admissions with regard to seasonality and clinical associated features, in a sample of patients admitted to a psychiatric unit in a period of 24 months. Methods: All subjects consecutively admitted to the Psychiatric Inpatient Unit of the San Luigi Gonzaga Hospital, Orbassano (University of Turin, Italy) from September 2013 to August 2015 were recruited. Socio-demographic and clinical characteristics were collected. Results: Seven hundred and thirty admissions in psychiatric ward were recognized. The prevalence of involuntary admission was 15.4%. Patients with involuntary hospitalizations showed a higher education level, a higher prevalence of admission in spring/summer with a significant peak in June, a longer duration of hospitalization and a lower suicide ideation. Among involuntary admissions, physical restraint and suicide attempts were more prevalent during spring compared to the other seasons. Conclusions: Seasonality has an important role in the psychopathology of psychiatric disorders, particularly in bipolar and related disorder, and may represent an influencing factor in hospital admissions and hospitalizations. Seasonal pattern must be considered while managing diagnosis and treatment of mental disorders, with regard to prevention and psychoeducation of patients.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Objectivementioning

confidence: 99%

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Involuntary admissions in Italy: the impact of seasonality

Aguglia

Moncalvo

Solia

et al. 2016

International Journal of Psychiatry in Clinical Practice

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“…29, No. 4, pp 490-496 talizations to our unit does not represent a correlate of involuntary commitment, though it has been shown by others to be a risk factor for future readmission (Martinez-Ortega et al 2012, Zhou et al 2015).…”

Section: Pierfrancesco Maria Balducci Francesco Bernardini Luca Paumentioning

confidence: 80%

Correlates of Involuntary Admission: Findings From an Italian Inpatient Psychiatric Unit

Balducci

Bernardini²,

Pauselli³

et al. 2017

Psychiat Danub

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“…In agreement with the literature, male patients dominated the involuntary patient group. 5,6,23,24 No difference in marital status of patients was observed with regard to voluntary and IAs, but divorced patients made up the greater portion of the involuntary patient group. 3,4 In a study from Turkey, it was found that patients who were not married are prominent in the involuntary group.…”

Section: Discussionmentioning

confidence: 88%

Voluntary/Involuntary Admissions/Readmissions of Psychiatric Patients in a University Hospital in Turkey From 2008 to 2016

et al. 2018

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Background:The treatment and hospitalization of psychiatric patients has been a dilemma for many years. Many countries have different specific legislations regarding the hospitalization and treatment of mental patients.Objective: In the current study, 4100 voluntary/involuntary psychiatric admissions and readmissions to a university hospital in Turkey were investigated, and patient groups were compared in terms of demographic variables and psychiatric diagnoses based on DSM IV-TR. Methods: The records of patients who had been hospitalized approximately 4-6 weeks were reviewed by two psychiatrists, and the patients were then divided into groups on the basis of single/multiple admissions and voluntary/involuntary admissions. The groups were compared based on psychiatric diagnoses. Results: Schizophrenia was the most common diagnosis in 71.5% (n = 865) of patients with multiple admissions. The second most common diagnosis was bipolar affective disorder with 13.1% (n = 159). The rate of schizophrenia in both voluntary and involuntary hospitalizations was significant (34.5% and 54.6%, respectively). However, depression, the second most common diagnosis requiring hospitalization with a rate of 23.2% of voluntary hospitalizations, accounted for only 3.7% of involuntary hospitalizations. Conclusion: Males constituted almost 75% of the single admission group. This difference may result from the socioeconomic and cultural profile of Turkey, as mental disorders make marriage impossible and are hidden in females suffering from them. Different findings from different cultures on single/multiple admissions and voluntary/involuntary admissions of patients lead to the conclusion that specific legislation covering treatment or hospitalization for mental disorders is needed in every country.

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Voluntary and Involuntary Psychiatric Admissions in China

Cited by 34 publications

References 39 publications

Involuntary admissions in Italy: the impact of seasonality

Involuntary admissions in Italy: the impact of seasonality

Correlates of Involuntary Admission: Findings From an Italian Inpatient Psychiatric Unit

Voluntary/Involuntary Admissions/Readmissions of Psychiatric Patients in a University Hospital in Turkey From 2008 to 2016

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