Impact of compulsory admission on treatment and outcome: A propensity score matched analysis

AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.Metho...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Andreas B. Hofmann [verfasserIn] Hanna M. Schmid [verfasserIn] Lena A. Hofmann [verfasserIn] Vanessa Noboa [verfasserIn] Erich Seifritz [verfasserIn] Stefan Vetter [verfasserIn] Stephan T. Egger [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Coercion compulsory admission HoNOS involuntary hospitalization readmission

Übergeordnetes Werk:	In: European Psychiatry - Cambridge University Press, 2020, 65(2022)
Übergeordnetes Werk:	volume:65 ; year:2022

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1192/j.eurpsy.2022.4

Katalog-ID:	DOAJ088114686

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520			\|a AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders.
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allfields	10.1192/j.eurpsy.2022.4 doi (DE-627)DOAJ088114686 (DE-599)DOAJ199c84fd7c974fe9b9546fa44b975cfd DE-627 ger DE-627 rakwb eng RC435-571 Andreas B. Hofmann verfasserin aut Impact of compulsory admission on treatment and outcome: A propensity score matched analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders. Coercion compulsory admission HoNOS involuntary hospitalization readmission Psychiatry Hanna M. Schmid verfasserin aut Lena A. Hofmann verfasserin aut Vanessa Noboa verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022) (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 https://doi.org/10.1192/j.eurpsy.2022.4 kostenfrei https://doaj.org/article/199c84fd7c974fe9b9546fa44b975cfd kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822000049/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022
spelling	10.1192/j.eurpsy.2022.4 doi (DE-627)DOAJ088114686 (DE-599)DOAJ199c84fd7c974fe9b9546fa44b975cfd DE-627 ger DE-627 rakwb eng RC435-571 Andreas B. Hofmann verfasserin aut Impact of compulsory admission on treatment and outcome: A propensity score matched analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders. Coercion compulsory admission HoNOS involuntary hospitalization readmission Psychiatry Hanna M. Schmid verfasserin aut Lena A. Hofmann verfasserin aut Vanessa Noboa verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022) (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 https://doi.org/10.1192/j.eurpsy.2022.4 kostenfrei https://doaj.org/article/199c84fd7c974fe9b9546fa44b975cfd kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822000049/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022
allfields_unstemmed	10.1192/j.eurpsy.2022.4 doi (DE-627)DOAJ088114686 (DE-599)DOAJ199c84fd7c974fe9b9546fa44b975cfd DE-627 ger DE-627 rakwb eng RC435-571 Andreas B. Hofmann verfasserin aut Impact of compulsory admission on treatment and outcome: A propensity score matched analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders. Coercion compulsory admission HoNOS involuntary hospitalization readmission Psychiatry Hanna M. Schmid verfasserin aut Lena A. Hofmann verfasserin aut Vanessa Noboa verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022) (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 https://doi.org/10.1192/j.eurpsy.2022.4 kostenfrei https://doaj.org/article/199c84fd7c974fe9b9546fa44b975cfd kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822000049/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022
allfieldsGer	10.1192/j.eurpsy.2022.4 doi (DE-627)DOAJ088114686 (DE-599)DOAJ199c84fd7c974fe9b9546fa44b975cfd DE-627 ger DE-627 rakwb eng RC435-571 Andreas B. Hofmann verfasserin aut Impact of compulsory admission on treatment and outcome: A propensity score matched analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders. Coercion compulsory admission HoNOS involuntary hospitalization readmission Psychiatry Hanna M. Schmid verfasserin aut Lena A. Hofmann verfasserin aut Vanessa Noboa verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022) (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 https://doi.org/10.1192/j.eurpsy.2022.4 kostenfrei https://doaj.org/article/199c84fd7c974fe9b9546fa44b975cfd kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822000049/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022
allfieldsSound	10.1192/j.eurpsy.2022.4 doi (DE-627)DOAJ088114686 (DE-599)DOAJ199c84fd7c974fe9b9546fa44b975cfd DE-627 ger DE-627 rakwb eng RC435-571 Andreas B. Hofmann verfasserin aut Impact of compulsory admission on treatment and outcome: A propensity score matched analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders. Coercion compulsory admission HoNOS involuntary hospitalization readmission Psychiatry Hanna M. Schmid verfasserin aut Lena A. Hofmann verfasserin aut Vanessa Noboa verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022) (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 https://doi.org/10.1192/j.eurpsy.2022.4 kostenfrei https://doaj.org/article/199c84fd7c974fe9b9546fa44b975cfd kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822000049/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022
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Hofmann</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Impact of compulsory admission on treatment and outcome: A propensity score matched analysis</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Coercion</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">compulsory admission</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">HoNOS</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">involuntary hospitalization</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">readmission</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Psychiatry</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Hanna M. 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callnumber-first	R - Medicine
author	Andreas B. Hofmann
spellingShingle	Andreas B. Hofmann misc RC435-571 misc Coercion misc compulsory admission misc HoNOS misc involuntary hospitalization misc readmission misc Psychiatry Impact of compulsory admission on treatment and outcome: A propensity score matched analysis
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topic_title	RC435-571 Impact of compulsory admission on treatment and outcome: A propensity score matched analysis Coercion compulsory admission HoNOS involuntary hospitalization readmission
topic	misc RC435-571 misc Coercion misc compulsory admission misc HoNOS misc involuntary hospitalization misc readmission misc Psychiatry
topic_unstemmed	misc RC435-571 misc Coercion misc compulsory admission misc HoNOS misc involuntary hospitalization misc readmission misc Psychiatry
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title	Impact of compulsory admission on treatment and outcome: A propensity score matched analysis
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title_full	Impact of compulsory admission on treatment and outcome: A propensity score matched analysis
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author_browse	Andreas B. Hofmann Hanna M. Schmid Lena A. Hofmann Vanessa Noboa Erich Seifritz Stefan Vetter Stephan T. Egger
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title_sort	impact of compulsory admission on treatment and outcome: a propensity score matched analysis
callnumber	RC435-571
title_auth	Impact of compulsory admission on treatment and outcome: A propensity score matched analysis
abstract	AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders.
abstractGer	AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders.
abstract_unstemmed	AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. Therefore, we aimed to assess potential differences in treatment and outcome between voluntarily and compulsorily admitted patients.MethodsWe extracted clinical data from inpatients treated in an academic hospital in Zurich, Switzerland between January 1, 2013 and December 31, 2019. Observation time started upon the first admission and ended after a one-year follow-up after the last discharge. Several sociodemographic and clinical characteristics, including Health of the Nation Outcome Scales (HoNOS) scores, were retrospectively obtained. We then identified risk factors of compulsory admission using logistic regression in order to perform a widely balanced propensity score matching. Altogether, we compared 4,570 compulsorily and 4,570 voluntarily admitted propensity score-matched patients. Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders.
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title_short	Impact of compulsory admission on treatment and outcome: A propensity score matched analysis
url	https://doi.org/10.1192/j.eurpsy.2022.4 https://doaj.org/article/199c84fd7c974fe9b9546fa44b975cfd https://www.cambridge.org/core/product/identifier/S0924933822000049/type/journal_article https://doaj.org/toc/0924-9338 https://doaj.org/toc/1778-3585
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author2	Hanna M. Schmid Lena A. Hofmann Vanessa Noboa Erich Seifritz Stefan Vetter Stephan T. Egger
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doi_str	10.1192/j.eurpsy.2022.4
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up_date	2024-07-03T15:53:38.581Z
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Hofmann</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Impact of compulsory admission on treatment and outcome: A propensity score matched analysis</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">AbstractBackgroundDespite multiple ethical issues and little evidence of their efficacy, compulsory admission and treatment are still common psychiatric practice. 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Multiple differences between these groups concerning received treatment, coercive measures, clinical parameters, and service use outcomes were detected.ResultsUpon discharge, compulsorily admitted patients reached a similar HoNOS sum score in a significantly shorter duration of treatment. They were more often admitted for crisis interventions, were prescribed less pharmacologic treatment, and received fewer therapies. During the follow-up, voluntarily admitted patients were readmitted more often, while the time to readmission did not differ.ConclusionsUnder narrowly set circumstances, compulsory admissions might be helpful to avert and relieve exacerbations of severe psychiatric disorders.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Coercion</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">compulsory admission</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">HoNOS</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">involuntary hospitalization</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">readmission</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Psychiatry</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Hanna M. 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Impact of compulsory admission on treatment and outcome: A propensity score matched analysis

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