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    Perceived coercion in voluntary hospital admission.

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    Authors
    O'Donoghue, Brian
    Roche, Eric
    Shannon, Stephen
    Lyne, John
    Madigan, Kevin
    Feeney, Larkin
    Affiliation
    Department of General Adult Psychiatry, Cluain Mhuire Mental Health Service, Newtownpark Avenue, Blackrock, Dublin, Ireland. Electronic address: briannoelodonoghue@gmail.com.
    Issue Date
    2014-01-30
    MeSH
    Adult
    Coercion
    Female
    Hospitals, Psychiatric
    Humans
    Male
    Mental Health
    Middle Aged
    Patient Admission
    Perception
    Psychiatric Department, Hospital
    Psychotic Disorders
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    Citation
    Perceived coercion in voluntary hospital admission. 2014, 215 (1):120-6 Psychiatry Res
    Journal
    Psychiatry research
    URI
    http://hdl.handle.net/10147/333820
    DOI
    10.1016/j.psychres.2013.10.016
    PubMed ID
    24210740
    Abstract
    The legal status of service users admitted to psychiatric wards is not synonymous with the level of coercion that they can perceive during the admission. This study aimed to identify and describe the proportion of individuals who were admitted voluntarily but experienced levels of perceived coercion comparable to those admitted involuntarily. Individuals admitted voluntarily and involuntarily to three psychiatric hospitals were interviewed using the MacArthur Admission Experience Interview and the Structured Clinical Interview for DSM-IV diagnoses. One hundered sixty-one individuals were interviewed and 22% of the voluntarily admitted service users had levels of perceived coercion similar to that of the majority of involuntarily admitted service users. Voluntarily admitted service users who experienced high levels of perceived coercion were more likely to have more severe psychotic symptoms, have experienced more negative pressures and less procedural justices on admission. Individuals brought to hospital under mental health legislation but who subsequently agreed to be admitted voluntarily and those treated on a secure ward also reported higher levels of perceived coercion. It needs to be ensured that if any service user, whether voluntary or involuntary, experiences treatment pressures or coercion that there is sufficient oversight of the practice, to ensure that individual's rights are respected.
    Item Type
    Article
    Language
    en
    ISSN
    1872-7123
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.psychres.2013.10.016
    Scopus Count
    Collections
    St. Vincent's University Hospital

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