| Publikationstyp: | Beitrag in wissenschaftlicher Zeitschrift |
| Art der Begutachtung: | Peer review (Publikation) |
| Titel: | Clinical and socio-demographic characteristics associated with involuntary admissions in Switzerland between 2008 and 2016 : an observational cohort study before and after implementation of the new legislation |
| Autor/-in: | Hotzy, Florian Hengartner, Michael Pascal Hoff, Paul Jaeger, Matthias Theodoridou, Anastasia |
| DOI: | 10.1016/j.eurpsy.2019.04.004 |
| Erschienen in: | European Psychiatry |
| Band(Heft): | 59 |
| Seite(n): | 70 |
| Seiten bis: | 76 |
| Erscheinungsdatum: | 2019 |
| Verlag / Hrsg. Institution: | Elsevier |
| ISSN: | 0924-9338 1778-3585 |
| Sprache: | Englisch |
| Schlagwörter: | Coercion; Involuntary admission; Involuntary hospitalization; Risk-factor; Severe mental illness |
| Fachgebiet (DDC): | 616.89: Psychische Störungen, klinische Psychologie und Psychiatrie |
| Zusammenfassung: | Background: Involuntary admission (IA) for psychiatric treatment has a history of controversial discussions. We aimed to describe characteristics of a cohort of involuntarily compared to voluntarily admitted patients regarding clinical and socio-demographic characteristics before and after implementation of the new legislation. Methods: In this observational cohort study, routine data of 15’125 patients who were admitted to the University Hospital of Psychiatry Zurich between 2008 and 2016 were analyzed using a series of generalized estimating equations. Results: At least one IA occurred in 4’560 patients (30.1%). Of the 31’508 admissions 8’843 (28.1%) were involuntary. In the final multivariable model, being a tourist (OR = 3.5) or an asylum seeker (OR = 2.3), having a schizophrenic disorder (OR = 2.1), or a bipolar disorder (OR = 1.8) contributed most to our model. Male gender, higher age, prescription of neuroleptics (all OR < 2.0) as well as having a depressive disorder, prescription of psychotherapy, prescription of antidepressants and admission after implementation of the new legislation (all OR > 0.6) were also weakly associated with IA. Conclusions: Besides schizophrenic or bipolar disorders, a small group of patients had an increased risk for IA due to non-clinical parameters (i.e. tourists and asylum seekers). Knowledge about risk factors should be used for the development of multi-level strategies to prevent frequent (involuntary) hospitalizations in patients at risk. On the organizational level, we could show that the new legislation decreased the risk for IA, and therefore may have succeeded in strengthening patient autonomy. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/17157 |
| Volltext Version: | Publizierte Version |
| Lizenz (gemäss Verlagsvertrag): | Lizenz gemäss Verlagsvertrag |
| Departement: | Angewandte Psychologie |
| Organisationseinheit: | Psychologisches Institut (PI) |
| Enthalten in den Sammlungen: | Publikationen Angewandte Psychologie |
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Hotzy, F., Hengartner, M. P., Hoff, P., Jaeger, M., & Theodoridou, A. (2019). Clinical and socio-demographic characteristics associated with involuntary admissions in Switzerland between 2008 and 2016 : an observational cohort study before and after implementation of the new legislation. European Psychiatry, 59, 70–76. https://doi.org/10.1016/j.eurpsy.2019.04.004
Hotzy, F. et al. (2019) ‘Clinical and socio-demographic characteristics associated with involuntary admissions in Switzerland between 2008 and 2016 : an observational cohort study before and after implementation of the new legislation’, European Psychiatry, 59, pp. 70–76. Available at: https://doi.org/10.1016/j.eurpsy.2019.04.004.
F. Hotzy, M. P. Hengartner, P. Hoff, M. Jaeger, and A. Theodoridou, “Clinical and socio-demographic characteristics associated with involuntary admissions in Switzerland between 2008 and 2016 : an observational cohort study before and after implementation of the new legislation,” European Psychiatry, vol. 59, pp. 70–76, 2019, doi: 10.1016/j.eurpsy.2019.04.004.
HOTZY, Florian, Michael Pascal HENGARTNER, Paul HOFF, Matthias JAEGER und Anastasia THEODORIDOU, 2019. Clinical and socio-demographic characteristics associated with involuntary admissions in Switzerland between 2008 and 2016 : an observational cohort study before and after implementation of the new legislation. European Psychiatry. 2019. Bd. 59, S. 70–76. DOI 10.1016/j.eurpsy.2019.04.004
Hotzy, Florian, Michael Pascal Hengartner, Paul Hoff, Matthias Jaeger, and Anastasia Theodoridou. 2019. “Clinical and Socio-Demographic Characteristics Associated with Involuntary Admissions in Switzerland between 2008 and 2016 : An Observational Cohort Study before and after Implementation of the New Legislation.” European Psychiatry 59: 70–76. https://doi.org/10.1016/j.eurpsy.2019.04.004.
Hotzy, Florian, et al. “Clinical and Socio-Demographic Characteristics Associated with Involuntary Admissions in Switzerland between 2008 and 2016 : An Observational Cohort Study before and after Implementation of the New Legislation.” European Psychiatry, vol. 59, 2019, pp. 70–76, https://doi.org/10.1016/j.eurpsy.2019.04.004.
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