Mental capacity in patients involuntarily or voluntarily receiving psychiatric treatment for an acute mental disorder
Open accessAbstract
Despite the growing amount of data, much information is needed on patients' mental capacity to consent to psychiatric treatment for acute mental disorders. The present study was undertaken to compare differences in capacity to consent to psychiatric treatment in patients treated voluntarily and involuntarily and to investigate the role of psychiatric symptoms, competency, and cognitive functioning in determining voluntariness of hospital admission. Involuntary patients were interviewed with the MacArthur Competence Assessment Tool for Treatment (MacCAT-T), the 24-item Brief Psychiatric Rating Scale (BPRS), the Mini Mental State Examination (MMSE) and the Raven's Colored Progressive Matrices, and their data were compared with those for age- and sex-matched voluntary patients. Involuntary patients performed worse in all MacCAT-T subscales. Capacity to consent to treatment varied widely within each group. Overall, involuntary patients have worse consent-related mental capacity than those treated voluntarily, despite capacity to consent to treatment showing a significant variability in both groups.
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- Authors
- Mandarelli, G., Tarsitani, L., Parmigiani, G., Polselli, G. M., Frati, P., Biondi, M., & Ferracuti, S.
- Affiliations
- Azienda Ospedaliera Sant'Andrea (IT)
- Sapienza University of Rome (IT)
- Corresponding author
- Mandarelli, Gabriele
- ORCID
- Venue
- Journal of Forensic Sciences
- Publisher
- Wiley
- Published
- 2014-02-06
- Volume
- 59
- Issue
- 4
- Pages
- 1002-1007
- ISSN
- 0022-1198 (ISSN-L)
- 1556-4029
- OpenAlex
- W2167427425
- Cited by
- 37
- References
- 32
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 8 · 2019: 9 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Forensic Sciences (publishedVersion)
- PubMed (publishedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- CINECA IRIS Institutional Research Information System (University of Bari Aldo Moro) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- decision-making capacity, informed consent, psychiatric treatment, involuntary admission, voluntary admission, acute mental disorders, Brief Psychiatric Rating Scale, Mini-Mental State Examination, Coloured Progressive Matrices, cognitive function, psychiatric symptoms, competency assessment
- MeSH terms
- Adult, Aged, Mental Disorders, Commitment of Persons with Psychiatric Disorders, Female, Hospitals, University, Humans, Informed Consent, Interview, Psychological, Italy, Male, Mental Health Services, Middle Aged, Psychiatric Status Rating Scales, Psychological Tests, Mental Competency, Young Adult
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