[Decisions about sectioning and medicating of schizophrenic patients in Germany and England--results of a comparative study].
Questionnaires with three case summaries have been presented to 143 psychiatrists in Germany and 27 in England. All three case summaries regard patients with schizophrenia who either show risk to themselves or others. The psychiatrists were asked whether they would recommend sectioning and furthermore whether they would recommend treatment against the patient's will. In the case regarding a risk to others there was widespread approval of sectioning and treatment (Germany 85 %, England 93 %) against the patient's will. Significant differences were seen in the cases of risk to the patients themselves with regards to treatment against the patient's will. This was the case with a scenario involving a young man with his first presentation of schizophrenia as well as in the case of a middle aged man presenting with chronic psychotic symptoms and self-neglect (approval in England: 96 % and 93 % respectively, in Germany: 63 % and 59 % respectively, p < 0.001 for both). When a logistic regression was performed the country of work was the most important predictive factor in deciding whether or not to treat a patient against his will.
Steinert
Tilman
T
Zentrum für Psychiatrie Weissenau, Abt. Psychiatrie I der Universität Ulm. tilman.steinert@zfp-weissenau.de
Lepping
Peter
P
Gebhardt
Ralf-Peter
RP
D000328:Adult; D014150:Antipsychotic Agents / Q000008:administration & dosage* / Q000009:adverse effects; D001291:Attitude of Health Personnel; D002908:Chronic Disease; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003431:Cross-Cultural Comparison; D003617:Dangerous Behavior; D004739:England; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D012559:Schizophrenia / Q000175:diagnosis / Q000188:drug therapy*; D012565:Schizophrenic Psychology; D016312:Treatment Refusal / Q000331:legislation & jurisprudence*
D014150:Antipsychotic Agents
Entscheidungen zur Zwangseinweisung und Zwangsmedikation schizophrener Patienten bei Psychiatern in Deutschland und England--Ergebnisse einer vergleichenden Befragung.