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  • This study aims to identify whether selected patient and ward-related factors are associated with the use of coercive measures. Data were collected as part of the EUNOMIA international collaborative study on the use of coercive measures in ten European countries. Involuntarily admitted patients (N = 2,027) were divided into two groups. The first group (N = 770) included patients that had been subject to at least one of these coercive measures during hospitalization: restraint, and/or seclusion, and/or forced medication; the other group (N = 1,257) included patients who had not received any coercive measure during hospitalization. To identify predictors of use of coercive measures, both patients' sociodemographic and clinical characteristics and centre-related characteristics were tested in a multivariate logistic regression model, controlled for countries' effect. The frequency of the use of coercive measures varied significantly across countries, being higher in Poland, Italy and Greece. Patients who received coercive measures were more frequently male and with a diagnosis of psychotic disorder (F20-F29). According to the regression model, patients with higher levels of psychotic and hostility symptoms, and of perceived coercion had a higher risk to be coerced at admission. Controlling for countries' effect, the risk of being coerced was higher in Poland. Patients' sociodemographic characteristics and ward-related factors were not identifying as possible predictors because they did not enter the model. The use of coercive measures varied significantly in the participating countries. Clinical factors, such as high levels of psychotic symptoms and high levels of perceived coercion at admission were associated with the use of coercive measures, when controlling for countries' effect. These factors should be taken into consideration by programs aimed at reducing the use of coercive measures in psychiatric wards.
  • This study aims to identify whether selected patient and ward-related factors are associated with the use of coercive measures. Data were collected as part of the EUNOMIA international collaborative study on the use of coercive measures in ten European countries. Involuntarily admitted patients (N = 2,027) were divided into two groups. The first group (N = 770) included patients that had been subject to at least one of these coercive measures during hospitalization: restraint, and/or seclusion, and/or forced medication; the other group (N = 1,257) included patients who had not received any coercive measure during hospitalization. To identify predictors of use of coercive measures, both patients' sociodemographic and clinical characteristics and centre-related characteristics were tested in a multivariate logistic regression model, controlled for countries' effect. The frequency of the use of coercive measures varied significantly across countries, being higher in Poland, Italy and Greece. Patients who received coercive measures were more frequently male and with a diagnosis of psychotic disorder (F20-F29). According to the regression model, patients with higher levels of psychotic and hostility symptoms, and of perceived coercion had a higher risk to be coerced at admission. Controlling for countries' effect, the risk of being coerced was higher in Poland. Patients' sociodemographic characteristics and ward-related factors were not identifying as possible predictors because they did not enter the model. The use of coercive measures varied significantly in the participating countries. Clinical factors, such as high levels of psychotic symptoms and high levels of perceived coercion at admission were associated with the use of coercive measures, when controlling for countries' effect. These factors should be taken into consideration by programs aimed at reducing the use of coercive measures in psychiatric wards. (en)
Title
  • Do patient and ward-related characteristics influence the use of coercive measures? Results from the EUNOMIA international study
  • Do patient and ward-related characteristics influence the use of coercive measures? Results from the EUNOMIA international study (en)
skos:prefLabel
  • Do patient and ward-related characteristics influence the use of coercive measures? Results from the EUNOMIA international study
  • Do patient and ward-related characteristics influence the use of coercive measures? Results from the EUNOMIA international study (en)
skos:notation
  • RIV/00216208:11110/14:10283988!RIV15-MSM-11110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 10
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 12029
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11110/14:10283988
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • International aspects; Involuntary commitment; Physical restraint; Coercion (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • DE - Spolková republika Německo
http://linked.open...ontrolniKodProRIV
  • [91CA469716F3]
http://linked.open...i/riv/nazevZdroje
  • Social Psychiatry and Psychiatric Epidemiology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 49
http://linked.open...iv/tvurceVysledku
  • Adamowski, Tomasz
  • Cervilla, Jorge A.
  • Dembinskas, Algirdas
  • Fiorillo, Andrea
  • Kjellin, Lars
  • Kallert, Thomas W.
  • Karastergiou, Anastasia
  • Kiejna, Andrzej
  • Nawka, Alexander
  • Onchev, Georgi
  • Raboch, Jiří
  • Kališová, Lucie
  • Giacco, Domenico
  • Sampogna, Gaia
  • Cihal, Libor
  • Torres-Gonzales, Francisco
  • Priebe, Stephan
  • del Vecchio, Valeria
http://linked.open...ain/vavai/riv/wos
  • 000342228400014
issn
  • 0933-7954
number of pages
http://bibframe.org/vocab/doi
  • 10.1007/s00127-014-0872-6
http://localhost/t...ganizacniJednotka
  • 11110
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