title: [Coercive Interventions in Psychiatry: Prevention and Patients' Preferences].
abstract: ObjectiveThis study explores patients' preferences and measures of prevention of coercive methods in psychiatric treatment.MethodsStructured interviews of 90 patients with psychotic disorders were undertaken, most of whom had previously experienced coercive methods.ResultsParticipants saw preventive potential in a wider availability of individual non-pharmacological therapy, improvement of staff professional competence and communication skills, high staff-to-patient ratios and retreat facilities. The majority of participants preferred forced medication and manual restraint in case of self-endangerment, and forced medication and mechanical restraint in the event of endangerment of others.ConclusionPatients' suggestions relating to prevention of coercion are in line with most expert's opinions. In case coercive methods are required, manual restraint and application of forced medication is accepted as the treatment of choice according to most patients in case of self-endangerment.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Campus Mitte (PUK Charité im SHK), Charité Universitätsmedizin Berlin.
authors.forename: Juliane
authors.initials: J
authors.lastname: Mielau
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Campus Mitte (PUK Charité im SHK), Charité Universitätsmedizin Berlin.
authors.forename: Jasmin
authors.initials: J
authors.lastname: Altunbay
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Campus Mitte (PUK Charité im SHK), Charité Universitätsmedizin Berlin.
authors.forename: Andreas
authors.initials: A
authors.lastname: Heinz
authors.affiliation: Humboldt Universität zu Berlin.
authors.forename: Benedikt
authors.initials: B
authors.lastname: Reuter
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Campus Mitte (PUK Charité im SHK), Charité Universitätsmedizin Berlin.
authors.forename: Felix
authors.initials: F
authors.lastname: Bermpohl
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Campus Mitte (PUK Charité im SHK), Charité Universitätsmedizin Berlin.
authors.forename: Johannes
authors.initials: J
authors.lastname: Rentzsch
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Campus Mitte (PUK Charité im SHK), Charité Universitätsmedizin Berlin.
authors.forename: Anja
authors.initials: A
authors.lastname: Lehmann
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Campus Mitte (PUK Charité im SHK), Charité Universitätsmedizin Berlin.
authors.forename: Christiane
authors.initials: C
authors.lastname: Montag
mesh_terms: D003068:Coercion; D005858:Germany; D019983:Guideline Adherence / Q000331:legislation & jurisprudence*; D006778:Hospitals, Psychiatric / Q000331:legislation & jurisprudence; D006801:Humans; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D010356:Patient Isolation / Q000331:legislation & jurisprudence / Q000523:psychology; D057240:Patient Preference / Q000331:legislation & jurisprudence* / Q000523:psychology; D011619:Psychotropic Drugs / Q000008:administration & dosage* / Q000009:adverse effects; D012149:Restraint, Physical / Q000009:adverse effects / Q000331:legislation & jurisprudence* / Q000523:psychology
chemical_list: D011619:Psychotropic Drugs