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Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 10/2014

01.10.2014 | Original Paper

Do patient and ward-related characteristics influence the use of coercive measures? Results from the EUNOMIA international study

verfasst von: Lucie Kalisova, Jiri Raboch, Alexander Nawka, Gaia Sampogna, Libor Cihal, Thomas W. Kallert, Georgi Onchev, Anastasia Karastergiou, Valeria del Vecchio, Andrzej Kiejna, Tomasz Adamowski, Francisco Torres-Gonzales, Jorge A. Cervilla, Stephan Priebe, Domenico Giacco, Lars Kjellin, Algirdas Dembinskas, Andrea Fiorillo

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 10/2014

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Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.
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Metadaten
Titel
Do patient and ward-related characteristics influence the use of coercive measures? Results from the EUNOMIA international study
verfasst von
Lucie Kalisova
Jiri Raboch
Alexander Nawka
Gaia Sampogna
Libor Cihal
Thomas W. Kallert
Georgi Onchev
Anastasia Karastergiou
Valeria del Vecchio
Andrzej Kiejna
Tomasz Adamowski
Francisco Torres-Gonzales
Jorge A. Cervilla
Stephan Priebe
Domenico Giacco
Lars Kjellin
Algirdas Dembinskas
Andrea Fiorillo
Publikationsdatum
01.10.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 10/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0872-6

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