Journal ArticleDOI
Predictors of clinical and social outcomes following involuntary hospital admission: a prospective observational study.
Stefan Priebe,Christina Katsakou,Ksenija Yeeles,Tim Amos,Richard Morriss,Duolao Wang,Til Wykes +6 more
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TLDR
Female gender and higher perceived coercion were associated with better objective social outcomes, whilst higher initial satisfaction with treatment predicted more positive SQOL at follow-ups, in multivariable analyses.Abstract:
The Study aimed to assess clinical and social outcomes following involuntary admissions over 1 year and identify socio-demographic and clinical patient characteristics associated with more or less favourable outcomes. Seven hundred and seventy-eight involuntary patients admitted to one of 22 hospitals in England were assessed within the first week after admission and at 1 month, 3 month and 12 month follow-ups. Outcome criteria were symptom levels, global functioning, objective social outcomes, and subjective quality of life (SQOL). Baseline characteristics and patients’ initial experience were tested as predictors. Symptom levels and global functioning improved moderately. Objective social outcomes showed a small, but statistically significant deterioration, and SQOL a small, but significant improvement at 1 year. In multivariable analyses, admission due to risk to oneself and receiving benefits predicted poorer symptom outcomes. Female gender and higher perceived coercion were associated with better objective social outcomes, whilst higher initial satisfaction with treatment predicted more positive SQOL at follow-ups. Over a 1-year period following involuntary hospital admission, patients on average showed only limited health and social gains. Different types of outcomes are associated with different predictor variables. Patients’ initial experience of treatment, in the form of perceived coercion or satisfaction with treatment, has predictive value for up to a year following the admission.read more
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The WPA-Lancet Psychiatry Commission on the Future of Psychiatry
Dinesh Bhugra,Dinesh Bhugra,Allan Tasman,Soumitra Pathare,Stefan Priebe,Shubulade Smith,John Torous,Melissa R. Arbuckle,Alex Langford,Renato D. Alarcón,Renato D. Alarcón,Helen F.K. Chiu,Michael B. First,Jerald Kay,Charlene Sunkel,Anita Thapar,Pichet Udomratn,Florence Baingana,Devora Kestel,Roger Man Kin Ng,Anita Patel,Livia De Picker,Kwame McKenzie,Kwame McKenzie,Driss Moussaoui,Matt Muijen,Peter Bartlett,Sophie Davison,Tim Exworthy,Nasser Loza,Diana Rose,Julio Torales,Mark Brown,Helen Christensen,Joseph Firth,Matcheri S. Keshavan,Ang Li,Jukka-Pekka Onnela,Til Wykes,Hussein Elkholy,Hussein Elkholy,Gurvinder Kalra,Gurvinder Kalra,Kate F Lovett,Michael J. Travis,Antonio Ventriglio +45 more
TL;DR: The therapeutic relationship remains paramount, and psychiatrists will need to acquire the necessary communication skills and cultural awareness to work optimally as patient demographics change, and psychiatry faces major challenges.
Journal ArticleDOI
Psychiatric patients' views on why their involuntary hospitalisation was right or wrong: a qualitative study.
Christina Katsakou,Diana Rose,Tim Amos,Len Bowers,Rosemarie McCabe,Danielle Oliver,Til Wykes,Stefan Priebe +7 more
TL;DR: Why some patients view their involuntary hospitalisation positively, whereas others believe it was wrong is illustrated, which could inform the development of interventions to improve patients’ views and treatment experiences.
Journal ArticleDOI
Effects of Seclusion and Restraint in Adult Psychiatry: A Systematic Review.
TL;DR: The main results identified show negative effects of seclusion and restraint, and well-conducted prospective cohort studies could be more feasible than randomized controlled trials for interventional studies.
Journal ArticleDOI
Emotional reactions to involuntary psychiatric hospitalization and stigma-related stress among people with mental illness.
Nicolas Rüsch,Nicolas Rüsch,Mario Müller,Barbara Lay,Patrick W. Corrigan,Roland Zahn,Thekla Schönenberger,Marco Bleiker,Silke Lengler,Christina Blank,Wulf Rössler,Wulf Rössler +11 more
TL;DR: The negative effect of emotional reactions and stigma stress on quality of life and self-esteem was largely mediated by increased self-stigma and reduced empowerment, and these findings remained significant after controlling for psychiatric symptoms, diagnosis, age, gender and the number of lifetime involuntary hospitalizations.
Journal ArticleDOI
Use of coercive measures in mental health practice and its impact on outcome: a critical review.
Mario Luciano,Gaia Sampogna,Valeria Del Vecchio,Luca Pingani,Claudia Palumbo,Corrado De Rosa,Francesco Catapano,Andrea Fiorillo +7 more
TL;DR: The use of coercive measures was predicted by patients' clinical and socio-demographic features, staff characteristics and ward-related factors, and the relationship between coercive measures and patient outcome was explored.
References
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