Prevalence and correlates of seclusion with or without restraint in a Canadian psychiatric hospital: a 2‐year retrospective audit

Alexandre Dumais · Caroline Larue · Aline Drapeau · Geneviève Ménard

71 citations0/0 files storedJournal of Psychiatric and Mental Health Nursing

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Healthcare Decision-Making and Restraints Electroconvulsive Therapy Studies Restraint-Related Deaths

Abstract

Accessible summary This paper assesses the prevalence and associated clinical factors of seclusion and restraint in a Canadian psychiatric hospital. The prevalence of seclusion with or without restraint is high, and patients with bipolar and personality disorders are more likely than those with other psychiatric disorders to be secluded with and without restraint during their stay in this hospital. Implementing a comprehensive record‐keeping system that tracks patient risk factors and seclusion and restraint episodes would enhance the capacity to identify complex cases that present risks. Abstract Seclusion with or without restraint is a measure used to manage patients with challenging behaviours. Although controversial, the intervention remains poorly documented, especially in Canadian psychiatric hospitals. The purpose of this study is to assess the prevalence of the measure and identify any correlated demographic characteristics and psychiatric disorders. Episodes of seclusion with or without restraint were extracted from a computerized, hospital‐based system introduced specifically to track such interventions. Of 2721 patients hospitalized during that time, 23.2% (n = 632) were secluded with or without restraint, and 17.5% (n = 476) were secluded with restraint. Younger age, schizophrenia or other psychosis, bipolar and personality disorder, and longer stay in hospital are predictors of an episode of seclusion with or without restraint. Younger age, bipolar and personality disorders and a longer stay in hospital are predictors of an episode of seclusion with restraint. For patients who spent longer in seclusion and under restraint, there is a positive association with longer stay in hospital. In this inpatient psychiatric facility, seclusion with or without restraint thus appears to be common. More research is warranted to better identify the principal factors associated with seclusion and restraint and help reduce resort to these measures.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 71 citations exist upstream.

References

2008Perpetration of Violence, Violent Victimization, and Severe Mental Illness: Balancing Public Health Concerns 2009Incidence of seclusion and restraint in psychiatric hospitals: a literature review and survey of international trends 2002Trauma for all: a pilot study of the subjective experience of physical restraint for mental health inpatients and staff in the UK 2007Aggressive behaviour on acute psychiatric wards: prevalence, severity and management 2004Assessment of Anger and Aggression in Male Offenders With Developmental Disabilities.2005Special Section on Seclusion and Restraint: The Economic Cost of Using Restraint and the Value Added by Restraint Reduction or Elimination 2006A Systematic Review of the Safety and Effectiveness of Restraint and Seclusion as Interventions for the Short‐Term Management of Violence in Adult Psychiatric Inpatient Settings and Emergency Departments 2004THE MENTALLY ILL AND SOCIAL EXCLUSION: A CRITICAL EXAMINATION OF THE USE OF SECLUSION FROM THE PATIENT'S PERSPECTIVE

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.