Quick Search:

uzh logo
Browse by:
bullet
bullet
bullet
bullet

Zurich Open Repository and Archive 

Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-58332

Lay, B; Nordt, C; Rössler, W (2011). Variation in use of coercive measures in psychiatric hospitals. European Psychiatry, 26(4):244-251.

[img]Published Version
PDF - Registered users only
188Kb

Abstract

PURPOSE:

The use of coercive measures in psychiatry is still poorly understood. Most empirical research has been limited to compulsory admission and to risk factors on an individual patient level. This study addresses three coercive measures and the role of predictive factors at both patient and institutional levels.
METHODS:

Using the central psychiatric register that covers all psychiatric hospitals in Canton Zurich (1.3 million people), Switzerland, we traced all inpatients in 2007 aged 18-70 (n = 9698). We used GEE models to analyse variation in rates between psychiatric hospitals.
RESULTS:

Overall, we found quotas of 24.8% involuntary admissions, 6.4% seclusion/restraint and 4.2% coerced medication. Results suggest that the kind and severity of mental illness are the most important risk factors for being subjected to any form of coercion. Variation across the six psychiatric hospitals was high, even after accounting for risk factors on the patient level suggesting that centre effects are an important source of variability. However, effects of the hospital characteristics 'size of the hospital', 'length of inpatient stay', and 'work load of the nursing staff' were only weak ('bed occupancy rate' was not statistically significant).
CONCLUSION:

The significant variation in use of coercive measures across psychiatric hospitals needs further study.

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Clinical and Social Psychiatry Zurich West (former)
DDC:610 Medicine & health
Language:English
Date:2011
Deposited On:08 Mar 2012 16:39
Last Modified:30 Nov 2013 13:39
Publisher:Elsevier
ISSN:0924-9338
Publisher DOI:10.1016/j.eurpsy.2010.11.007
PubMed ID:21296560
Citations:Web of Science®. Times Cited: 12
Google Scholar™

Users (please log in): suggest update or correction for this item

Repository Staff Only: item control page