Cited by 204Healthcare Decision-Making and RestraintsPsychiatric care and mental health servicesHistorical Psychiatry and Medical Practices

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Involuntary vs. voluntary hospital admission: A systematic literature review on outcome diversity

Kallert, Thomas W., Glöckner, Matthias, Schützwohl, Matthias·2008·European Archives of Psychiatry and Clinical Neuroscience

DOI 10.1007/s00406-007-0777-4

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Abstract

This article systematically reviews the literature on the outcome of acute hospitalization for adult general psychiatric patients admitted involuntarily as compared to patients admitted voluntarily. Inclusion and exclusion criteria qualified 41 out of 3,227 references found in Medline and PSYNDEXplus literature searches for this review. The authors independently rated these articles on six pre-defined indicators of research quality, carried out statistical comparisons ex-post facto where not reported, and computed for each adequate result the effect size index d for the comparison of means, and the Phi- or contingency coefficient for cross-tabulated data. Methodological quality of the studies, coming mostly from North American and European countries, showed significant variation and was higher concerning service-related than clinical or subjective outcomes. Main deficits appeared in sample size estimation, lack of clear follow-up time-points, and the absence of standardized instruments used to assess clinical outcomes. Length of stay, readmission risk, and risk of involuntary readmission were at least equal or greater for involuntary patients. Involuntary patients showed no increased mortality, but did have higher suicide rates than voluntary patients. Further, involuntary patients demonstrated lower levels of social functioning, and equal levels of general psychopathology and treatment compliance; they were more dissatisfied with treatment and more frequently felt that hospitalization was not justified. Future methodologically-sound studies exploring this topic should focus on patient populations not represented here. Further research should also clarify if the legal admission status is sufficiently valid for differentiating the outcome of acute hospitalization.

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Authors: Kallert, T. W., Glöckner, M., & Schützwohl, M.
Affiliations: Technische Universität Dresden (DE)
Corresponding author: Kallert, Thomas W.
ORCID: Schützwohl, Matthias
Venue: European Archives of Psychiatry and Clinical Neuroscience
Publisher: Springer Science and Business Media LLC
Published: 2007-12-13
Volume: 258
Issue: 4
Pages: 195-209
ISSN: 0003-9373 (ISSN-L)
0940-1334
1433-8491
DOI: 10.1007/s00406-007-0777-4
OpenAlex: W1983638876
Cited by: 204
References: 53
Citations by year: 2026: 5 · 2025: 9 · 2024: 12 · 2023: 6 · 2022: 9 · 2021: 45 · 2020: 12 · 2019: 16 · 2018: 8 · 2017: 11 · 2016: 11 · 2015: 9 · 2014: 11 · 2013: 6 · 2012: 11
FWCI: 0.57
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: European Archives of Psychiatry and Clinical Neuroscience (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
Keywords: involuntary admission, acute psychiatric hospitalization, length of hospital stay, hospital readmission, suicide risk, mortality, social functioning, medication adherence, treatment satisfaction, outcome comparison
MeSH terms: Mental Disorders, Hospitalization, Humans, Patient Admission, Outcome Assessment, Health Care

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Involuntary vs. voluntary hospital admission: A systematic literature review on outcome diversity

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