title: [Clinical criteria of involuntary psychiatric treatment: a literature review and a synthesis of recommendations].
abstract: Though the carrying out of involuntary psychiatric care (IPC) mainly follows from a subjective appraisal of the patient's state, some specific clinical criteria have been proposed on regards to the underlying disorder. French national recommendations are synthesized hereby, and completed by a literature review. In psychotic disorders, the level of insight and the impact of delusion(s) are the essential criteria that should recommend to carry out IPC. In mood disorders, the appraisal is different depending on the underlying clinical state. In depressive or mixed states, IPC should be considered mainly in case of suicidal risk or jeopardizing physical consequences. In mania, IPC should result from a poor level of insight, or from the onset of significant social or occupational aftermaths. For suicidal states, it is necessary to appreciate suicidal risk and underlying psychiatric disorder. In addictive disorders, repeated risk-taking and denial should be the main criteria for considering IPC. In eating disorders, the occurring of both danger of death and denial of care should lead to possible IPC. Personality disorders are severity factors of emergency psychiatric states which can result in IPC. They are not criteria for IPC by themselves. For patients with dementia, mostly behavioural disturbances can require IPC.
authors: CHRU de Lille, hôpital Fontan, service de psychiatrie de l'adulte, 59037 Lille cedex, France. Electronic address: baptistepignon@yahoo.fr.
authors: Baptiste
authors: B
authors: Pignon
authors: CHRU de Lille, hôpital Fontan 2, service d'addictologie, 59037 Lille cedex, France; Université Lille Nord de France, 59000 Lille, France.
authors: Benjamin
authors: B
authors: Rolland
authors: AP-HP, hôpital Louis-Mourier, service de psychiatrie de l'adulte, 92700 Paris, France.
authors: Sarah
authors: S
authors: Tebeka
authors: CHRU de Lille, hôpital Fontan 2, service d'addictologie, 59037 Lille cedex, France.
authors: Nadia
authors: N
authors: Zouitina-Lietaert
authors: CHRU de Lille, hôpital Fontan 2, service d'addictologie, 59037 Lille cedex, France; Université Lille Nord de France, 59000 Lille, France.
authors: Olivier
authors: O
authors: Cottencin
authors: CHRU de Lille, hôpital Fontan, service de psychiatrie de l'adulte, 59037 Lille cedex, France; Université Lille Nord de France, 59000 Lille, France.
authors: Guillaume
authors: G
authors: Vaiva
mesh_terms: D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D006801:Humans; D007258:Informed Consent; D016743:Mental Competency; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy*; D000092864:Suicide Prevention