title: [Coercive measures in German hospitals for psychiatry and psychotherapy : A pilot study by the DGPPN to evaluate a uniform assessment instrument].
abstract: OBJECTIVE
  A simple instrument to record case-related coercive measures was tested as part of a pilot project of the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN).
  
  
  METHODS
  To assess coercive measures data were collected for 3 months in 8 German hospitals for psychiatry and psychotherapy. The type of measures used, the main diagnosis and the legal basis for the coercive measures were documented.
  
  
  RESULTS
  In the sample studied, coercive measures were applied in 8% of cases. Coercive measures were most commonly used in patients with a schizophrenic disorder. The principle of justifiable necessity according to § 34 of the German Penal Code was used particularly often as the legal basis for justifying the coercive measures.
  
  
  CONCLUSIONS
  Suitable measurement instruments and reliable data that enable the learning of best practices represent the basis for a reduction of coercive measures.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 80336, München, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Adorjan
authors.affiliation: Zentrum für Psychiatrie Südwürttemberg, Bad Schussenried, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Steinert
authors.affiliation: Zentrum für Psychiatrie Südwürttemberg, Bad Schussenried, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Flammer
authors.affiliation: Zentrum für Psychosoziale Medizin, Klinikum Itzehoe, Itzehoe, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Deister
authors.affiliation: Asklepios Fachklinikum Göttingen, Göttingen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Koller
authors.affiliation: Psychotherapie und Psychosomatik, Klinik für Psychiatrie, Heidenheim, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Zinkler
authors.affiliation: Klinik für Allgemeine Psychiatrie, Universität Heidelberg, Heidelberg, Deutschland.
authors.forename: S C
authors.initials: SC
authors.lastname: Herpertz
authors.affiliation: Klinik für Allgemeine Psychiatrie, Universität Heidelberg, Heidelberg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Häfner
authors.affiliation: Asklepios Fachklinikum Brandenburg, Brandenburg an der Havel, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Hohl-Radke
authors.affiliation: St. Marien-Hospital Hamm, Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Universitätsklinik Witten/Herdecke, Hamm, Deutschland.
authors.forename: K H
authors.initials: KH
authors.lastname: Beine
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 80336, München, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Falkai
authors.affiliation: Psychosomatik und Nervenheilkunde (DGPPN-Geschäftsstelle), Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Berlin, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Gerlinger
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 80336, München, Deutschland. Oliver.Pogarell@med.uni-muenchen.de.
authors.forename: O
authors.initials: O
authors.lastname: Pogarell
authors.affiliation: Zentrum für Psychische Gesundheit, Klinikum Ingolstadt, Ingolstadt, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Pollmächer
mesh_terms: D003068:Coercion; D003430:Cross-Sectional Studies; D005858:Germany; D006778:Hospitals, Psychiatric / Q000331:legislation & jurisprudence; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D010356:Patient Isolation / Q000331:legislation & jurisprudence; D010865:Pilot Projects; D011594:Psychometrics / Q000706:statistics & numerical data*; D011613:Psychotherapy / Q000331:legislation & jurisprudence; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D012149:Restraint, Physical / Q000331:legislation & jurisprudence; D012559:Schizophrenia / Q000453:epidemiology / Q000628:therapy; D012565:Schizophrenic Psychology; D012955:Societies, Medical; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000628:therapy
keywords: Coercive measures; DGPPN; Legal basis; Psychiatry