[Quality of involuntary hospital administration in Switzerland].
METHODS
This study aims at investigating the formal and content-related quality of medical certificates directing compulsory hospital admissions before the scheduled alteration of the Swiss civil legislation in January 2013. A comparison between physicians with different professional backgrounds concerning certificates and patients was conducted.


METHODS
Retrospective investigation of medical records of involuntary inpatients at the University Hospital of Psychiatry in Zurich during a period of six months (N=489).


RESULTS
Considerable deficits concerning formal and particularly content-related aspects of the certificates were found. Psychiatrists issued certificates of the highest quality followed by emergency physicians, hospital doctors and general practitioners. Patients differed with respect to several sociodemographic and clinical variables.


CONCLUSIONS
The quality of certificates directing involuntary hospital admission has to be improved considering the impact on the individual concerned. The consequences of the new legislation on the quality of the admission practices should be inquired in order to improve professional training on the issue.
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich.
Matthias
M
Jäger
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich.
Isabelle
I
Ospelt
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich.
Wolfram
W
Kawohl
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich.
Anastasia
A
Theodoridou
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich.
Wulf
W
Rössler
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich.
Paul
P
Hoff
D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders; D003299:Cooperative Behavior; D003617:Dangerous Behavior; D005260:Female; D006778:Hospitals, Psychiatric / Q000458:organization & administration; D006785:Hospitals, University / Q000458:organization & administration; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D012017:Referral and Consultation / Q000458:organization & administration; D012189:Retrospective Studies; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D013557:Switzerland
Qualität; Zwangseinweisung; admission non-volontaire; hôpital psychiatrique; involuntary admission; mental disorder; psychiatric hospital; psychiatrische Klinik; psychische Störung; quality; qualité; trouble mentale