Clinical correlates and predictors of perceived coercion among psychiatric inpatients: A prospective pilot study
Abstract
Background The current Mental Health Care Bill (MHCB) -2013 in India advocates least restrictive alternatives (LRA) in psychiatric treatment. However, we have little evidence on patient's perspectives of coercion and LRA. Methodology This was a hospital-based prospective pilot study. 170 subjects chosen by computer-generated random number sampling were screened. In 83 eligible subjects, all assessments including coercion assessment were completed within 3 days of admission and in 75 subjects reassessment was done within 3 days of discharge. Results Perceived coercion as measured by the MacArthur Perceived Coercion Scale (MPCS) decreased significantly from 3.72±1.98 at admission to 1.77±1.8 ( Conclusion Coercion is a dynamic state and changes with treatment and care. Clinical care may result in an improvement in global functioning, insight as well as in reduction in severity of illness consequently leading to less coercion. During the time of discharge, majority of patients reported that their admission was justified, even though they felt coerced during hospital stay and agreed for treatment against their will within a safe, standardised coercive practice.
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Being employed was associated with lower perceived coercion in three studies.
“Being employed was associated with lower perceived coercion in three studies [116,117,137].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [116]
Higher perceived coercion was associated with a high socioeconomic status in one study.
“Higher perceived coercion was associated with a high socioeconomic status in one study [116]”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [116]
Having extended family was associated with lower perceived coercion in two studies.
“Two studies found that having extended family was associated with lower perceived coercion [112,116].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [116]
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- Authors
- Gowda, G. S., Noorthoorn, E. O., Kumar, C. N., Nanjegowda, R. B., & Math, S. B.
- Affiliations
- National Institute of Mental Health and Neurosciences (IN)
- GGNet (NL)
- Corresponding author
- Gowda, Guru S.
- Venue
- Asian Journal of Psychiatry
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 22
- Pages
- 34-40
- ISSN
- 1876-2018 (ISSN-L)
- OpenAlex
- W2344819615
- Cited by
- 32
- References
- 34
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 3 · 2021: 3 · 2020: 1 · 2019: 7 · 2018: 5 · 2017: 7 · 2016: 2
- FWCI
- 9.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Asian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- 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
- perceived coercion, psychiatric inpatients, least restrictive alternative, insight, global functioning, symptom severity, family structure, socioeconomic status, employment status, involuntary psychiatric admission
- MeSH terms
- Adult, Mental Disorders, Coercion, Commitment of Persons with Psychiatric Disorders, Female, Humans, India, Inpatients, Male, Middle Aged, Patient Admission, Patient Discharge, Pilot Projects, Prospective Studies, Severity of Illness Index, Young Adult
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