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Cited by 34Healthcare Decision-Making and RestraintsPsychiatric care and mental health servicesElectroconvulsive Therapy Studies

Feeling coerced during psychiatric hospitalization: Impact of perceived status of admission and perceived usefulness of hospitalization

Golay, Philippe, Morandi, Stéphane, Silva, Benedetta, Devas, Célia, Bonsack, Charles·2019·International Journal of Law and Psychiatry
DOI 10.1016/j.ijlp.2019.101512
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Abstract

Introduction Perceived coercion is not exclusively related to the patient's legal status at admission. Patients are not always aware of their correct status and voluntary patients often report having felt coerced. Moreover, involuntary patients commonly report that their hospitalization was justified. The first goal was to disentangle the contribution of the legal and of the perceived status of admission in predicting perceived coercion. The second goal of this study was to investigate to which extent perception of the usefulness of the hospitalization affected perceived coercion. Material and methods 152 inpatients were interviewed about their knowledge of their legal status of admission, perceived need for hospitalization and subjective improvement. They completed the MacArthur's Admission Experience Survey and the Coercion Experience Scale. Results 6.6% of voluntarily admitted patients and 30.4% of involuntarily admitted patients reported an erroneous status of admission. 88.2% of voluntarily admitted patients and 44.7% of involuntarily admitted patients felt that they needed hospitalization during their stay. Levels of perceived coercion at admission and during hospitalization were mostly predicted by their perceived legal status. While involuntary patients frequently perceived the need for hospitalization and reported subjective improvement after admission, their perception of coercion markedly differed from voluntary patients. Conclusions Perceived coercion was marginally related to the legal admission status, which leaves room for interventions that reduce the patients' feeling of being coerced and avoid its negative effects. If many patients revised their belief on the need for and benefits of hospitalization during their stay, their perception of coercion was left partially unchanged.

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  • Involuntary treatment was associated with an increased risk of the admission being perceived as coercive or procedurally unfair when compared to those receiving voluntary care.

    “Involuntary treatment is by definition associated with objective coercion, but it was also associated with an increased risk of the admission being perceived as coercive (for example experiencing a lack of control or agency) or procedurally unfair when compared to those receiving voluntary care (10,11,15,18–31).”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [19]

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Authors
Golay, P., Morandi, S., Silva, B., Devas, C., & Bonsack, C.
Affiliations
Centre Hospitalier Universitaire Vaudois (CH)
Corresponding author
Golay, Philippe
ORCID
Venue
International Journal of Law and Psychiatry
Publisher
Elsevier BV
Published
2019-11
Volume
67
Pages
101512
ISSN
0160-2527 (ISSN-L)
DOI
10.1016/j.ijlp.2019.101512
OpenAlex
W2989522288
Cited by
34
References
7
Citations by year
2026: 2 · 2025: 6 · 2024: 9 · 2023: 5 · 2022: 7 · 2021: 4 · 2020: 1
FWCI
3.51
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Journal of Law and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS (submittedVersion)
  • SERVAL (Université de Lausanne) (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 hospitalization, involuntary admission, voluntary admission, subjective improvement, patient experience
MeSH terms
Involuntary Commitment, Adult, Coercion, Female, Hospitalization, Hospitals, Psychiatric, Humans, Inpatients, Male, Middle Aged, Patient Admission, Surveys and Questionnaires, Switzerland

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