Cited by 13Healthcare Decision-Making and RestraintsPsychiatric care and mental health servicesElectroconvulsive Therapy Studies

Outcome of Voluntary vs Involuntary Admissions in Greece over 2 years after Discharge: A Cohort Study in the Psychiatric Hospital of Attica “Dafni”

Drakonakis, Nektarios, Stylianidis, Stelios, Peppou, Lily Evangelia, Douzenis, Athanasios, Nikolaidi, Sofia, Tzavara, Chara, Baladima, Charikleia Eirini, Iatropoulou, Georgia Olga +3 more·2022·Community Mental Health Journal

Abstract

The increasing rates of involuntary hospitalization constitute a major ethical issue in psychiatric practice. The present cohort study endeavours to investigate the relationship between patients' legal status (involuntary vs voluntary) and the outcome of their hospitalization, over 2 years after discharge. All individuals admitted in the 3rd Psychiatric Department of the Psychiatric Hospital of Attica during February 2015-February 2017 took part in the study. 64.7% of patients were compulsory admitted. Findings indicate a statistically significant improvement in global functioning and symptomatology levels from admission to discharge for all treated patients, independently of their legal status. However, readmission rates over 2 years after discharge were high (34.8% vs. 21.9% in voluntary and involuntary patients, respectively). In conclusion, psychiatric admission, irrespectively of legal status leads to clinical improvement.

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Crossref · 10.1007/s10597-021-00865-y

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41 of 41 references verified0 citation errors · 0 not checkable

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  • The association with involuntary readmission possibly indicates less therapeutic engagement.

    “By contrast, two studies found that overall readmission was not higher following involuntary admission (69,70) although there was an association with involuntary readmission, possibly indicating less therapeutic engagement (71–75).”
  • There was an association with involuntary readmission.

    “By contrast, two studies found that overall readmission was not higher following involuntary admission (69,70) although there was an association with involuntary readmission, possibly indicating less therapeutic engagement (71–75).”

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Authors
Drakonakis, N., Stylianidis, S., Peppou, L. E., Douzenis, A., Nikolaidi, S., Tzavara, C., Baladima, C. E., Iatropoulou, G. O., Psarra, V., Tsopanaki, E., & Barbato, A.
Affiliations
  • Panteion University (GR)
  • National and Kapodistrian University of Athens (GR)
  • Association for Regional Development and Mental Health (GR)
  • Mario Negri Institute for Pharmacological Research (IT)
Corresponding author
Drakonakis, Nektarios
Venue
Community Mental Health Journal
Published
2021-08-09
Volume
58
Issue
4
Pages
633-644
ISSN
  • 0010-3853 (ISSN-L)
  • 1573-2789
OpenAlex
W3190618095
Cited by
13
References
43
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 1
FWCI
1.53
Type
journal article
Language
en
Open access
closed
Locations
  • Community Mental Health Journal (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
  • Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
Keywords
involuntary admission, compulsory psychiatric admission, voluntary admission, psychiatric hospitalization, hospital readmission, global functioning, symptom improvement, legal status of patients, Greece
MeSH terms
Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Greece, Hospitals, Psychiatric, Humans, Patient Discharge, Cohort Studies

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