Our Mountain Seclusion

Seclusion: a literature review

Inpatient seclusion: description and causes.

A total of 114 (31%) of 370 acute admissions to an inpatient unit over a one-year interval had at least one episode of seclusion or restraint. Four variables were significant predictors of seclusion and restraint. They were young age, diagnosis of borderline personality disorder, and two scores (irritability and total assets) on the Nurses Observation Scale for Inpatient Evaluation (NOSIE). Mor...

Tailoring seclusion policies to the patient group.

We welcome the review by Gaskin et al 1 of interventions to reduce use of seclusion. Although studies reviewed were conducted in adult and child settings, the authors did not differentiate the developmental needs between these patient populations. The determinants of emotional distress and aggression may differ between children and adults. In adult psychiatric units, aggression is frequently as...

Seclusion and psychiatric intensive care evaluation study

Evaluate the innovations of no seclusion and restricted access to Psychiatric Intensive Care Units (PICUs) by: 1. Assessing the outcomes of (a) PICU transfer versus continued acute inpatient care among patients admitted to general adult wards, and of (b) seclusion versus no seclusion among PICU patients, in terms of: (i) repeated physical violence to others, injury to staff or patients, abscond...

Patients' view of seclusion – preliminary report

Background Seclusion, putting a patient involuntarily alone in a locked unfurnished room from which she/he cannot freely exit, is a prevailing coercive measure in modern psychiatric practice. In recent years, clinical, ethical, and legal debate has increased awareness of its controversial nature. However, studies focused on the views of the secluded patients themselves are sparse. Objective: To...