Service users’ perspective of their admission: A report of study findings
Open accessAbstract
OBJECTIVES: The 'Service Users' Perspective of their Admission' study examined voluntarily and involuntarily admitted services users' perception of coercion during the admission process and whether this was associated with factors such as the therapeutic alliance, satisfaction with services, functioning and quality of life. This report aims to collate the findings of the study. METHODS: The study was undertaken across three community mental health services in Ireland. Participants were interviewed before discharge and at 1 year using the MacArthur Admission Experience. Caregivers of participants were interviewed about their perception of coercion during the admission. RESULTS: A total of 161 service users were interviewed and of those admitted involuntarily, 42% experienced at least one form of physical coercion. Service users admitted involuntarily reported higher levels of perceived coercion and less procedural justice than those admitted voluntarily. A total of 22% of voluntarily admitted service users reported levels of perceived coercion comparable with involuntarily admitted service users and this was associated with treatment in a secure ward or being brought to hospital initially under mental health legislation. In comparison with the service user, caregivers tended to underestimate the level of perceived coercion. The level of procedural justice was moderately associated with the therapeutic relationship and satisfaction with services. After 1 year, 70% experienced an improvement in functioning and this was not associated with the accumulated level of coercive events, when controlled for confounders. CONCLUSIONS: This study has provided valuable insights into the perceptions of coercion and can help inform future interventional studies aimed at reducing coercion in mental health services.
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Up to 74 to 80% of involuntarily hospitalized individuals report perceiving coercion.
“Studies have shown that up to 74 to 80% of involuntarily hospitalized individuals, and 22 to 25% of those voluntarily admitted for a mental health issue, report perceiving coercion [5,10].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [10]
The section ‘Perceived coercion in voluntarily admitted service users’ reports high perceived coercion in 80% of involuntarily admitted service users and 22% of voluntarily admitted service users, using a MacArthur scale score of at least 4. Our copy does not give the other figures in the citing sentence—74% and 25%—so it supports only part of the stated ranges. (LLM, conf=0.86)
Experimental — accuracy not yet measuredNumerous studies have shown that involuntary hospitalization is associated with higher perceived coercion.
“Numerous studies have shown that involuntary hospitalization is associated with higher perceived coercion [10,13,14,15,35,37,38,42,44,45,48,59,64,72,94,96,120,129,131,137,139,151,155,160].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [10]
Perceived coercion is commonly reported by a large number of persons receiving psychiatric care.
“Although less studied than other forms of coercion, perceived coercion is nevertheless commonly reported by a large number of persons receiving psychiatric care.”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [10]
22 to 25% of individuals voluntarily admitted for a mental health issue report perceiving coercion.
“Studies have shown that up to 74 to 80% of involuntarily hospitalized individuals, and 22 to 25% of those voluntarily admitted for a mental health issue, report perceiving coercion [5,10].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [10]
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Cites
The Use of Psychological Testing for Treatment Planning and Outcome Assessment
Maruish, M. E., & Leahy, R. L. (2000) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.14.2.205 · Cited by 1,634 · see citing works
Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)
Priebe, S., Huxley, P., Knight, S., & Evans, S. (1999) · International Journal of Social Psychiatry · doi:10.1177/002076409904500102 · Cited by 1,071 · see citing works
Munder, T., Wilmers, F., Leonhart, R., Linster, H. W., & Barth, J. (2010) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.658 · Cited by 538 · see citing works
Bird, V., Premkumar, P., Kendall, T., Whittington, C., Mitchell, J., & Kuipers, E. (2010) · British Journal of Psychiatry · doi:10.1192/bjp.bp.109.074526 · Cited by 468 · see citing works
Monahan, J. T., Hoge, S. K., Lidz, C. W., Roth, L. H., Bennett, N. S., Gardner, W. P., & Mulvey, E. P. (1995) · International Journal of Law and Psychiatry · doi:10.1016/0160-2527(95)00010-f · Cited by 247 · see citing works
A new scale (SES) to measure engagement with community mental health services
Tait, L., Birchwood, M. J., & Trower, P. (2002) · Journal of Mental Health · doi:10.1080/09638230020023570-2 · Cited by 226 · see citing works
Patients' views and readmissions 1 year after involuntary hospitalisation
Priebe, S., Katsakou, C., Amos, T., Leese, M., Morriss, R. K., Rose, D. S., Wykes, T., & Yeeles, K. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.108.052266 · Cited by 216 · see citing works
Söderberg, P., Tungström, S., & Armelius, B. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.4.434 · Cited by 203 · see citing works
Perceived Coercion and the Therapeutic Relationship: A Neglected Association?
Sheehan, K. A., & Burns, T. (2011) · Psychiatric Services · doi:10.1176/ps.62.5.pss6205_0471 · Cited by 148 · cited 1× · see citing works
“However, this finding is not fully consistent with the international literature, as two previous studies found that the level of perceived coercion was associated with the therapeutic relationship (Sheehan & Burns, 2011; Theodoridou et al. 2012).”
ResultTherapeutic relationship in the context of perceived coercion in a psychiatric population
Theodoridou, A., Schlatter, F., Ajdacic, V., Rössler, W., & Jäger, M. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.04.012 · Cited by 147 · cited 1× · see citing works
“However, this finding is not fully consistent with the international literature, as two previous studies found that the level of perceived coercion was associated with the therapeutic relationship (Sheehan & Burns, 2011; Theodoridou et al. 2012).”
ResultPriebe, S., Katsakou, C., Glöckner, M., Dembinskas, A., Fiorillo, A., Karastergiou, A., Kiejna, A., Kjellin, L., Nawka, P., Onchev, G., et al. (2010) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.109.068916 · Cited by 127 · see citing works
Fiorillo, A., Rosa, C. D., VECCHIO, V. D., Jurjanz, L., Schnall, K., Onchev, G., Alexiev, S., Raboch, J., Kališová, L., Mastrogianni, A., et al. (2010) · European Psychiatry · doi:10.1016/j.eurpsy.2010.01.013 · Cited by 124 · see citing works
Priebe, S., Watzke, S., Hansson, L., & Burns, T. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01217.x · Cited by 113 · see citing works
Satisfaction with services following voluntary and involuntary admission
Smith, D., Roche, E., O’Loughlin, K., Brennan, D., Madigan, K., Lyne, J., Feeney, L., & O’Donoghue, B. (2014) · Journal of Mental Health · doi:10.3109/09638237.2013.841864 · Cited by 111 · see citing works
Perceived coercion in voluntary hospital admission
O'Donoghue, B., Roche, E., Shannon, S., Lyne, J., Madigan, K., & Feeney, L. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2013.10.016 · Cited by 89 · see citing works
Involuntary admission from the patients’ perspective
O'Donoghue, B. N., Lyne, J., Hill, M. B., Larkin, C., Feeney, L., & O’Callaghan, E. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0104-7 · Cited by 88 · see citing works
Degener, T., & Koster-Dreese, Y. (1995) · Brill | Nijhoff eBooks · doi:10.1163/9789004479890_025 · Cited by 86 · see citing works
Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study
Katsakou, C., Marougka, S., Garabette, J., Rost, F., Yeeles, K., & Priebe, S. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2011.01.001 · Cited by 84 · see citing works
Procedural justice in the context of civil commitment: an analogue study*
Cascardi, M. A., Poythress, N. G., & Hall, A. (2000) · Behavioral Sciences & the Law · doi:10.1002/bsl.421 · Cited by 76 · see citing works
Coercion and patient satisfaction on psychiatric acute wards
Iversen, K. I., Høyer, G., & Sexton, H. C. (2007) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2007.09.001 · Cited by 65 · see citing works
Family, Clinician, and Patient Perceptions of Coercion in Mental Hospital Admission
Hoge, S. K., Lidz, C. W., Eisenberg, M., Monahan, J., Bennett, N., Gardner, W., Mulvey, E. P., & Roth, L. (1998) · International Journal of Law and Psychiatry · doi:10.1016/s0160-2527(98)00002-8 · Cited by 54 · see citing works
O'Donoghue, B. N., Lyne, J., Hill, M. B., Larkin, C., Feeney, L., & O’Callaghan, E. (2010) · European Psychiatry · doi:10.1016/j.eurpsy.2010.01.014 · Cited by 49 · see citing works
The Therapeutic Relationship After Psychiatric Admission
Roche, E., Madigan, K., Lyne, J. P., Feeney, L., & O’Donoghue, B. (2014) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000102 · Cited by 48 · see citing works
Caregivers' appraisals of patients' involuntary hospital treatment: European multicentre study
Giacco, D., Fiorillo, A., Vecchio, V. D., Kallert, T. W., Onchev, G., Raboch, J., Mastrogianni, A., Nawka, A., Hadryś, T., Kjellin, L., et al. (2012) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.112.112813 · Cited by 38 · see citing works
What is the Role of Procedural Justice in Civil Commitment?
McKenna, B. G., Simpson, A. I. F., & Coverdale, J. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2000.00744.x · Cited by 35 · see citing works
O'Donoghue, B. N., Lyne, J., Hill, M. B., O’Rourke, L., Daly, S., Larkin, C., Feeney, L., & O’Callaghan, E. (2011) · Journal of Mental Health · doi:10.3109/09638237.2011.562263 · Cited by 33 · see citing works
The Irish Mental Health Act 2001
Kelly, B. D. (2006) · Psychiatric Bulletin · doi:10.1192/pb.31.1.21 · Cited by 31 · see citing works
Prebble, K., Thom, K., & Hudson, E. (2014) · Psychiatry Psychology and Law · doi:10.1080/13218719.2014.959156 · Cited by 21 · see citing works
A Comparison of Participant Information Elicited by Service User and Non-Service User Researchers
Rose, D. S., Leese, M., Oliver, D., Sidhu, R., Bennewith, O., Priebe, S., & Wykes, T. (2011) · Psychiatric Services · doi:10.1176/ps.62.2.pss6202_0210 · Cited by 19 · see citing works
O'Donoghue, B. N., Roche, E., Ranieri, V. F., Shannon, S., Crummey, C., Murray, J., Smith, D., O'Loughlin, K., Lyne, J., Madigan, K. V., et al. (2013) · Psychiatric Services · doi:10.1176/appi.ps.001912012 · Cited by 18 · see citing works
Subjective and objective quality of life at first presentation with psychosis
Renwick, L., Drennan, J., Sheridan, A., Owens, L., Lyne, J., O'Donoghue, B. N., Kinsella, A., Turner, N., O’Callaghan, E., & Clarke, M. (2015) · Early Intervention in Psychiatry · doi:10.1111/eip.12255 · Cited by 17 · see citing works
Is the EU working time directive making teamwork obsolete.
Geoghegan, M. F. (2002) · PubMed · Cited by 15 · see citing works
Caregivers' perceptions of coercion in psychiatric hospital admission
Ranieri, V. F., Madigan, K. V., Roche, E., Bainbridge, E. D., McGuinness, D., Tierney, K. J., Feeney, L., Hallahan, B. P., McDonald, C., & O'Donoghue, B. N. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.05.079 · Cited by 15 · see citing works
Longer term outcomes of voluntarily admitted service users with high levels of perceived coercion
O’Donoghue, B., Roche, E., Shannon, S., Creed, L., Lyne, J., Madigan, K., & Feeney, L. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.07.013 · Cited by 15 · see citing works
Self-citationShannon, S., Roche, E., Madigan, K. V., Renwick, L., Dolan, C., Devitt, P., Feeney, L., Murphy, K. C., & O'Donoghue, B. N. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201400212 · Cited by 5 · see citing works
Flagged first, then by citations
1 of the 36 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- First M, Spitzer R, Gibbon M, Williams J (2002). Structured Clinical Interview for the DSM-IV Axis I Disorders, Research Version, Patient Edition (SCI-I/P). Biometric Research, New York State Psychiatric Institute: New York.
- Kelly BD (2002). The Mental Health Act 2001. Irish Medical Journal 95, 151-152.
Cited by
Sorted by citations
Silva, B., Bachelard, M., Amoussou, J. R., Martinez, D. C. T., Bonalumi, C., Bonsack, C., Golay, P., & Morandi, S. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e13420 · Cited by 45 · see citing works
Sampogna, G., Luciano, M., Del Vecchio, V., Pocai, B., Palummo, C., Fico, G., Giallonardo, V., De Rosa, C., & Fiorillo, A. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00316 · Cited by 42 · see citing works
Golay, P., Morandi, S., Silva, B., Devas, C., & Bonsack, C. (2019) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2019.101512 · Cited by 34 · see citing works
Silva, B., Bachelard, M., Bonsack, C., Golay, P., & Morandi, S. (2023) · Psychiatric Quarterly · doi:10.1007/s11126-023-10039-6 · Cited by 22 · see citing works
Refusing Medication Therapy in Involuntary Inpatient Treatment—A Multiperspective Qualitative Study
Jaeger, S., Hüther, F., & Steinert, T. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00295 · Cited by 15 · see citing works
Service users’ experiences of mental health tribunals in Ireland: a qualitative analysis
Murphy, R., McGuinness, D., Bainbridge, E. D., Brosnan, L., Keys, M., Felzmann, H., Murphy, K., Hallahan, B. P., Higgins, A., & McDonald, C. (2017) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2017.11 · Cited by 10 · see citing works
Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review
Lessard-Deschênes, C., Pariseau-Legault, P., Billé, V., Sergerie-Richard, S., Hudson, E., Silva, B., Drouin, J.-S., Désilets, M., & Goulet, M.-H. (2025) · Healthcare · doi:10.3390/healthcare13151868 · Cited by 10 · see citing works
The nearest relative in the Mental Health Act 2007: still an illusionary and inconsistent safeguard?
Laing, J. M., Dixon, J., Stone, K. E., & Wilkinson‐Tough, M. (2018) · Journal of Social Welfare and Family Law · doi:10.1080/09649069.2018.1414366 · Cited by 8 · see citing works
Pathways to experienced coercion during psychiatric admission: a network analysis
Silva, B., Morandi, S., Bachelard, M., Bonsack, C., & Golay, P. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05968-w · Cited by 4 · see citing works
Moukaddam, N. J., & Tucci, V. T. (2021) · International Journal of Academic Medicine · doi:10.4103/ijam.ijam_22_21
Psychometric Properties of the Coercion Experience Scale in Patients with Mental Disorders in IranPreprint
Karimi, K., Gardashkhani, S., & Belil, F. E. (2024) · Research Square · doi:10.21203/rs.3.rs-4369224/v1
Silva, B., Morandi, S., Bachelard, M., Bonsack, C., & Golay, P. (2024) · Figshare · doi:10.6084/m9.figshare.26756986
- Authors
- O’Donoghue, B., Roche, E., Lyne, J., Madigan, K., & Feeney, L.
- Affiliations
- Royal College of Surgeons in Ireland (IE)
- Venue
- Irish Journal of Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2016-03-08
- Volume
- 34
- Issue
- 4
- Pages
- 251-260
- ISSN
- 0790-9667 (ISSN-L)
- 2051-6967
- OpenAlex
- W2326753562
- Cited by
- 12
- References
- 36
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 2 · 2021: 1 · 2019: 3 · 2018: 1 · 2017: 1
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Irish Journal of Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National University of Ireland
- University of Galway
- 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, voluntary admission, admission process, perceived coercion, procedural justice, therapeutic relationship, service user satisfaction, caregiver perceptions, community mental health services, mental health law, functional outcome, quality of life
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