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Do patient and ward...
Do patient and ward-related characteristics influence the use of coercive measures? : Results from the EUNOMIA international study
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- Kalisova, Lucie (author)
- Dept Psychiat, Med Sch 1, Charles Univ, Prague, Czech Republic
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- Raboch, Jiri (author)
- Dept Psychiat, Med Sch 1, Charles Univ, Prague, Czech Republic
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- Nawka, Alexander (author)
- Dept Psychiat, Med Sch 1, Charles Univ, Prague, Czech Republic
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- Sampogna, Gaia (author)
- Dept Psychiat, Univ Naples Federico II, Naples, Italy
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- Cihal, Libor (author)
- Dept Psychiat, Med Sch 1, Charles Univ, Prague, Czech Republic
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- Kallert, Thomas W. (author)
- Dept Psychiat & Psychotherapy, Tech Univ Dresden, Dresden, Germany
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- Onchev, Georgi (author)
- Dept Psychiat, Med Univ, Sofia, Bulgaria
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- Karastergiou, Anastasia (author)
- Hosp Psychiat, Thessaloniki, Greece
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- del Vecchio, Valeria (author)
- Dept Psychiat, Univ Naples Federico II, Naples, Italy
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- Kiejna, Andrzej (author)
- Dept Psychiat, Med Univ, Wroclaw, Poland
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- Adamowski, Tomasz (author)
- Dept Psychiat, Med Univ, Wroclaw, Poland
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- Torres-Gonzales, Francisco (author)
- Ctr Invest Biomed Red Salud Mental CIBERSAM, Univ Granada, Granada, Spain.
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- Cervilla, Jorge A. (author)
- Ctr Invest Biomed Red Salud Mental CIBERSAM, Univ Granada, Granada, Spain
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- Priebe, Stephan (author)
- Unit Social & Community Psychiat, Univ London, London, England
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- Giacco, Domenico (author)
- Unit Social & Community Psychiat, Univ London, London, England
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- Kjellin, Lars, 1949- (author)
- Region Örebro län,Psychiatric Research Centre, Örebro University Hospital, Örebro, Sweden
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- Dembinskas, Algirdas (author)
- Vilnius Mental Hlth Ctr, Psychiat Clin, Univ Vilnius, Vilnius, Lithuania
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- Fiorillo, Andrea (author)
- Dept Psychiat, Univ Naples Federico II, Naples, Italy
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(creator_code:org_t)
- 2014-04-16
- 2014
- English.
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In: Social Psychiatry and Psychiatric Epidemiology. - : Springer. - 0933-7954 .- 1433-9285. ; 49:10, s. 1619-1629
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Keyword
- Coercion
- Physical restraint
- Involuntary commitment
- International aspects
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Kalisova, Lucie
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Raboch, Jiri
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Nawka, Alexander
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Sampogna, Gaia
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Cihal, Libor
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Kallert, Thomas ...
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show more...
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Onchev, Georgi
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Karastergiou, An ...
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del Vecchio, Val ...
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Kiejna, Andrzej
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Adamowski, Tomas ...
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Torres-Gonzales, ...
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Cervilla, Jorge ...
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Priebe, Stephan
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Giacco, Domenico
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Kjellin, Lars, 1 ...
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Dembinskas, Algi ...
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Fiorillo, Andrea
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Psychiatry
- Articles in the publication
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Social Psychiatr ...
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Örebro University