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Cited by 5Posttraumatic Stress Disorder ResearchElectroconvulsive Therapy StudiesHealthcare Decision-Making and Restraints

Psychiatric admission as a risk factor for posttraumatic stress disorder

Martinaki, Sofia, Kostaras, Panagiotis, Mihajlovic, Natasa, Papaioannou, Aggeliki, Asimopoulos, Charis, Masdrakis, Vasilis, Angelopoulos, Elias·2021·Psychiatry Research
DOI 10.1016/j.psychres.2021.114176
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Abstract

Psychiatric hospitalization poses a risk for Posttraumatic Stress Disorder (PTSD), partly because of coercion. However, the role of legal status is less clear, while factors like insight, exposure to violence and affective disorders have not been addressed adequately. The present study aims at assessing PTSD rates after hospitalization and evaluating the potential role of these factors. 98 inpatients were assessed for PTSD, insight, main diagnosis, adverse events during hospitalization and legal status. Assessment took place at discharge (T1) and three months later (T2). Three months after discharge, 74.2% of patients with affective disorders met symptom-criteria for PTSD. Voluntarily hospitalized patients had more severe PTSD-symptoms. This relation vanished after controlling for affective disorders. The latter, as well as exposure to violence were the most significant risk factors at T2. Female gender, marital status (not married) and employment status (not employed), were additional risk factors at T1, while involuntary medication had a negative effect on PTSD-symptoms. Voluntarily hospitalized patients are more vulnerable to PTSD, due to higher rates of affective disorders. Females suffering from affective disorders who are not married and not employed should be monitored for PTSD symptoms during and after hospitalization, especially if exposed to violence.

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  • There was no increase in PTSD among those admitted on an involuntary basis.

    “PTSD symptoms were relatively common in people who had experienced any psychiatric admission (prevalence range: 8.2% to 51%), but there was no increase among those admitted on an involuntary basis (51–54).”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [53]

  • PTSD symptoms were relatively common in people who had experienced any psychiatric admission, with a prevalence range of 8.2% to 51%.

    “PTSD symptoms were relatively common in people who had experienced any psychiatric admission (prevalence range: 8.2% to 51%), but there was no increase among those admitted on an involuntary basis (51–54).”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [53]

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Authors
Martinaki, S., Kostaras, P., Mihajlovic, N., Papaioannou, A., Asimopoulos, C., Masdrakis, V., & Angelopoulos, E.
Affiliations
  • National and Kapodistrian University of Athens (GR)
  • University of West Attica (GR)
Corresponding author
Kostaras, Panagiotis
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2021-11
Volume
305
Pages
114176
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2021.114176
OpenAlex
W3195373122
Cited by
5
References
44
Citations by year
2026: 2 · 2024: 2 · 2022: 1
FWCI
0.51
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
  • Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
Keywords
post-traumatic stress disorder, psychiatric hospitalization, involuntary admission, voluntary hospitalization, mood disorders, violence exposure, coercion, legal status, involuntary medication, risk factors, marital status, employment status, gender differences
MeSH terms
Anxiety, Female, Hospitalization, Humans, Risk Factors, Stress Disorders, Post-Traumatic, Violence

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