Restriction of human rights during seclusion and mechanical restraint. Results of a randomized controlled study
نویسندگان
چکیده
Background Seclusion and restraint are widely used for people with serious mental disorders. In most countries one intervention is preferred while the other is considered as inhuman or not sufficiently safe, but identical arguments refer to different preferences. There is a lack of evidence from welldesigned studies on compulsory measures in psychiatry. In a Cochrane Review on seclusion and restraint no article met the inclusion criteria of a RCT.
منابع مشابه
1-year follow-up of a randomized controlled trial comparing seclusion and mechanical restraint in people with serious mental illness
Methods We conducted a cohort study with optional randomisation comparing seclusion and mechanical restraint among in-patients with acute psychotic disorders. We determined an ethical aspect as main outcome variable: the restriction of human rights from the patients' point of view, measured by a scale developed for this purpose, Human DIgnity during COercive Procedures, DICOP. In addition we sc...
متن کاملStaff members' attitudes towards coercive measures
Methods Interviews with staff members were conducted focusing on a coercive measure they had carried out shortly before. The half-structured interview questioned how severely the patient's human rights were restricted during the coercive measure. We measured the restriction of human rights by a scale developed for this purpose, Human DIgnity during COercive Procedures, DICOP. It consists of the...
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BACKGROUND Involuntary medication in psychiatric treatment of inpatients is highly controversial. While laws regulating involuntary medication have been changed in Germany, no data have been available to date on how often involuntary medication is actually applied. Recently, our hospital group introduced specific routine documentation of legal status and application of involuntary medication in...
متن کاملPennsylvania State Hospital system's seclusion and restraint reduction program.
OBJECTIVES This study examined the use of seclusion and mechanical restraint from 1990 to 2000 and the rate of staff injuries from patient assaults from 1998 to 2000 in a state hospital system. METHODS Records of patients older than 18 years who were civilly committed to one of the nine state hospitals in Pennsylvania were included in the analyses. Two databases were used in each of the nine ...
متن کاملFrequency and patterns of coercive measures in acute psychiatric wards in Switzerland
Results The data cover 2,344 treatment episodes of 2,017 patients (41,560 treatment days). The patients mean age was 39 years, 46.6% were females, 39% were involuntarily admitted, and the median LOS was 8 days. The most frequent ICD-10 diagnoses were F2 (schizophrenia; 29%), F1 (psychoactive substance use; 24.9%), F3 (affective disorders, 16.7%) and F4/6 (neurosis/personality disorders, 18%). A...
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