Cited by 42Healthcare Decision-Making and RestraintsPsychiatric care and mental health servicesElectroconvulsive Therapy Studies

Satisfaction and coercion among voluntary, persuaded/pressured and committed patients in acute psychiatric treatment

Sørgaard, Knut W.·2007·Scandinavian Journal of Caring Sciences

Abstract

Rationale: Whereas the distinction between committed and voluntary admissions in mental health is clear from a legal point of view, this clarity is not always present in the patients’ experiences. Voluntary patients may be pressured or persuaded and committed patients may want admission. Aims: To compare three groups of patients – committed, voluntary and persuaded – admitted to acute psychiatric inpatient care as regards different aspects of satisfaction, treatment and experienced coercion. Method: The Sjukvårdens Planerings‐ och Rationaliseringsinstitut form and the Coercion Ladder were administered to all admitted patients on two acute wards. A total of 189 patients participated (86%). Data were analysed with nonparametric (Kruskal–Wallis, chi‐square) and parametric tests (multinominal regression). Results: A substantial proportion of the patients did not know of their legal status. Many reported restrictions on movement, forced medication and patronising communication. Satisfaction with the treatment was generally high. Compared to the voluntary patients, the two other groups were characterized by lack of influence, forced medication and high satisfaction with the key worker. Conclusion: Involuntariness was associated with increased likelihood of feeling excluded from participation in the treatment. The key worker seems to have an important position with regard to committed and pressured patients. Limitations: The data were limited to the patients’ subjective reports.

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Crossref · 10.1111/j.1471-6712.2007.00458.x

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  • Perceptions of coercion were not necessarily related to objective legal status.

    “As a result, perceptions of coercion were not necessarily related to objective legal status (12,33), with high degrees of perceived coercion found among those receiving voluntary care (11,13–15,27,29).”

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Authors
Sørgaard, K. W.
Affiliations
Nordland Hospital Trust (NO)
Corresponding author
Sørgaard, Knut W.
Venue
Scandinavian Journal of Caring Sciences
Publisher
Wiley
Published
2007-06
Volume
21
Issue
2
Pages
214-219
ISSN
  • 0283-9318 (ISSN-L)
  • 1471-6712
OpenAlex
W1991215234
Cited by
42
References
19
Citations by year
2025: 1 · 2024: 2 · 2023: 1 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 4 · 2013: 2 · 2012: 1
FWCI
2.18
Type
journal article
Language
en
Open access
closed
Locations
  • Scandinavian Journal of Caring Sciences (publishedVersion)
  • PubMed (publishedVersion)
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 psychiatric admission, patient satisfaction, forced medication, essential workers, patient participation, acute psychiatric inpatient care
MeSH terms
Adult, Mental Disorders, Coercion, Commitment of Persons with Psychiatric Disorders, Female, Humans, Male, Psychiatric Department, Hospital, Surveys and Questionnaires, Patient Satisfaction

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