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Cited by 8Healthcare Decision-Making and RestraintsPsychiatric care and mental health servicesSchizophrenia research and treatment

Voluntary and involuntary schizophrenic patient admissions on the same general hospital psychiatric unit

Arcuni, Orestes J., Asaad, Ghazi·1989·General Hospital Psychiatry
DOI 10.1016/0163-8343(89)90133-3
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Abstract

The authors compare a group of voluntary schizophrenics to another group of involuntary schizophrenic patients with regard to their various clinical and management aspects. Both groups had been treated on the same unit, by the same staff, and within the same approximate time period. The involuntary group needed a slightly longer stay, a significantly higher dosage of neuroleptics, and more staff supervision and intervention. The involuntary schizophrenic patients were more likely to be violent, with agitation and destructive behavior, and to require restraints or seclusion.

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Crossref · 10.1016/0163-8343(89)90133-3

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  • Involuntary admission was associated with a higher burden of psychotropic medication use in the short term.

    “A small number of studies suggested that involuntary admission was associated with a higher burden of psychotropic medication use in the short term (34,35).”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [35]

  • Involuntary admission was associated with about one and a half times greater likelihood of being prescribed high-dose antipsychotic treatment than voluntary care.

    “For instance, a four-year Australian cohort study investigating the association between psychotropic medication burden and involuntary treatment under the Mental Health Act 2016 (Qld) found that involuntary admission was associated with a nine-fold risk of being discharged on more than one antipsychotic medication, and about one and a half times greater likelihood of being prescribed high-dose ant”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [35]

  • Involuntary admission was associated with a nine-fold risk of being discharged on more than one antipsychotic medication.

    “For instance, a four-year Australian cohort study investigating the association between psychotropic medication burden and involuntary treatment under the Mental Health Act 2016 (Qld) found that involuntary admission was associated with a nine-fold risk of being discharged on more than one antipsychotic medication, and about one and a half times greater likelihood of being prescribed high-dose ant”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [35]

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Authors
Arcuni, O. J., & Asaad, G.
Affiliations
Danbury Hospital (US)
Corresponding author
Arcuni, Orestes J.
Venue
General Hospital Psychiatry
Publisher
Elsevier BV
Published
1989-11
Volume
11
Issue
6
Pages
393-396
ISSN
0163-8343 (ISSN-L)
DOI
10.1016/0163-8343(89)90133-3
OpenAlex
W2046859505
Cited by
8
References
10
Citations by year
2024: 1 · 2020: 1 · 2012: 1
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • General Hospital Psychiatry (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 › Schizophrenia research and treatment
Keywords
schizophrenia, voluntary admission, involuntary admission, psychiatric hospitalization, length of hospital stay, staff supervision, violence, agitation, destructive behavior, restraint, seclusion
MeSH terms
Adult, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Hospitals, General, Humans, Length of Stay, Male, Psychiatric Department, Hospital, Restraint, Physical, Schizophrenia, Schizophrenic Psychology, Social Isolation, Antipsychotic Agents

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