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Cited by 128Healthcare Decision-Making and RestraintsPsychiatric care and mental health servicesHistorical Psychiatry and Medical Practices

Patients’ Revisions of Their Beliefs About the Need for Hospitalization

Gardner, William, Lidz, Charles W., Hoge, Steven K., Monahan, John, Eisenberg, Marlene M., Bennett, Nancy S., Mulvey, Edward P., Roth, Loren H.·1999·American Journal of Psychiatry
DOI 10.1176/ajp.156.9.1385
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Abstract

OBJECTIVE: An influential rationale for involuntary hospitalization is that prospective patients who refuse hospitalization at the time it is offered are likely to change their belief about the necessity of hospitalization after receiving hospital treatment. The authors examine how patients changed their evaluations of psychiatric hospitalization following hospital treatment. METHOD: The authors studied 433 patients who were interviewed about their hospitalization within 2 days of their admission to a psychiatric hospital; 267 of these patients were reinterviewed 4-8 weeks following discharge. RESULTS: When reinterviewed at follow-up, 33 (52%) of 64 patients who said at admission that they did not need hospitalization said that, in retrospect, they believed they had needed it. Only 9 (5%) of 198 patients who said at admission that they needed hospitalization shifted to saying that they had not needed it. CONCLUSIONS: Many of the patients who initially judged that they did not need hospitalization revised their belief after hospital discharge and reported that they had needed hospital treatment. However, perceptions of coercion were stable from admission to follow-up, and patients' attitudes toward hospitalization did not become more positive. Coerced patients did not appear to be grateful for the experience of hospitalization, even if they later concluded that they had needed it.

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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 [18]

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Authors
Gardner, W., Lidz, C. W., Hoge, S. K., Monahan, J., Eisenberg, M. M., Bennett, N. S., Mulvey, E. P., & Roth, L. H.
Affiliations
University of Pittsburgh (US)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
1999-09-01
Volume
156
Issue
9
Pages
1385-1391
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/ajp.156.9.1385
OpenAlex
W2160197114
Cited by
128
References
1
Citations by year
2026: 1 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 8 · 2014: 5 · 2013: 8 · 2012: 2
FWCI
7.70
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship@UMassChan (submittedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
Keywords
psychiatric hospitalization, involuntary admission, patient beliefs, coercion, gratitude
MeSH terms
Adult, Attitude to Health, Mental Disorders, Coercion, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Female, Follow-Up Studies, Hospitalization, Hospitals, Psychiatric, Humans, Judgment, Male, Brief Psychiatric Rating Scale, Patient Acceptance of Health Care, Patient Admission, Patient Discharge, Psychiatric Status Rating Scales, Retrospective Studies, Treatment Refusal

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