title: Coercion and restrictions in psychiatric inpatient treatment.
abstract: To find out to what extent coercion and restrictions are used in psychiatric inpatient treatment and with which patient characteristics the use of coercion is associated. To this end, the hospital records of 1,543 admissions (six-month admission samples) to the psychiatric clinics in three Finnish university towns were evaluated by retrospective chart review. The study clinics provide all psychiatric inpatient treatment for the working-age population in their catchment areas. Use of coercion and restrictions was recorded in a structured form. Coercion and restrictions were applied to 32% of the patients. Mechanical restraints were used on 10% of the patients, and forced medication on 8%. Compared to international statistics the figures in the current study are high.
authors.affiliation: University of Tampere, Tampere School of Public Health and Tampere University Hospital, Department of Psychiatry, Tampere, Finland.
authors.forename: R
authors.initials: R
authors.lastname: Kaltiala-Heino
authors.forename: J
authors.initials: J
authors.lastname: Korkeila
authors.forename: C
authors.initials: C
authors.lastname: Tuohimäki
authors.forename: T
authors.initials: T
authors.lastname: Tuori
authors.forename: V
authors.initials: V
authors.lastname: Lehtinen
mesh_terms: D000293:Adolescent; D000328:Adult; D003068:Coercion; D003134:Commitment of Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data*; D010356:Patient Isolation / Q000706:statistics & numerical data*; D012149:Restraint, Physical / Q000706:statistics & numerical data*; D016312:Treatment Refusal / Q000706:statistics & numerical data