Outcomes of involuntary hospital admission – a review

Christina Katsakou · Stefan Priebe

199 citations0/0 files storedActa Psychiatrica Scandinavica

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Healthcare Decision-Making and Restraints Psychiatric care and mental health services Electroconvulsive Therapy Studies

Abstract

INTRODUCTION: This paper reviews studies on outcomes of involuntary hospital admissions in general adult psychiatry, and predictors of outcomes. METHOD: Studies assessing observer-rated clinical change and self-rated outcomes were identified. Relevant databases were searched and authors were contacted. Studies were classified according to quality criteria. RESULTS: Eighteen studies fulfilled the inclusion criteria. Most involuntarily admitted patients show substantial clinical improvement over time. Retrospectively, between 33% and 81% of patients regard the admission as justified and/or the treatment as beneficial. Data on predictors of outcomes is limited and inconsistent. Patients with more marked clinical improvement tend to have more positive retrospective judgements. CONCLUSION: A substantial number of involuntary patients do retrospectively not feel that their admission was justified and beneficial. At least for this group, new approaches might have to be considered. Larger studies are required to identify predictors on which patients are likely to fall into this group.

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References

2003Ethnic variations in pathways to and use of specialist mental health services in the UK 1995Perceived Coercion in Mental Hospital Admission

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2014Safewards: the empirical basis of the model and a critical appraisal 2019Reducing coercion in mental healthcare 2013Understanding psychiatric institutionalization: a conceptual review 2010Coercion and Treatment Satisfaction Among Involuntary Patients 2011Psychiatric patients’ views on why their involuntary hospitalisation was right or wrong: a qualitative study 2010Patients' views of involuntary hospital admission after 1 and 3 months: prospective study in 11 European countries 2007Patient's experiences of involuntary hospital admission and treatment: A review of qualitative studies 2016Improving outcomes for people in mental health crisis: a rapid synthesis of the evidence for available models of care

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