Perceived humiliation during admission to a psychiatric emergency service and its relation to socio-demography and psychopathology
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BACKGROUND: There is a lack of empirical studies of patients' level of humiliation during the hospital admission process and its implications for the clinical setting. We wanted to explore associations between self-rated humiliation and socio-demography and psychopathology in relation to admission to a psychiatric emergency unit. METHODS: Consecutively admitted patients (N = 186) were interviewed with several validated instruments. The patients self-rated humiliation by The Cantril Ladder, and 35% of the sample was defined as the high humiliation group. RESULTS: Final multivariate analysis found significant associations between compulsory admission, not being in paid work, high scores on hostility, and on entitlement, and high levels of humiliation. No significant interactions were observed between these variables, and the narcissism score was not a confounder concerning humiliation. CONCLUSIONS: High level of humiliation during the admission process was mainly related to patient factors, but also to compulsory admission which should be avoided as much as possible protecting the self-esteem of the patients.
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Four studies found no negative effect on patient satisfaction or dignity.
“However, four studies found no negative effect on patient satisfaction or dignity (112–114).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [113]
The Results and Conclusion (page unavailable) report that high perceived humiliation was associated with compulsory admission, contrary to the attributed finding of no negative effect on dignity. The paper does not report patient satisfaction as an outcome or establish a finding across four studies. (LLM, conf=0.86)
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References 29 · Cited by 23
Research works printed but not linked: 1
- Hedlund JL Vieweg BW The Brief Psychiatric Rating Scale (BPRS): a comprehensive review J Operat Psychiatry 1980 11 48 65
- Authors
- Svindseth, M. F., Nøttestad, J. A., & Dahl, A. A.
- Affiliations
- St Olav's University Hospital (NO)
- Oslo University Hospital (NO)
- Corresponding author
- Svindseth, Marit F
- ORCID
- Dahl, Alv A
- Venue
- BMC Psychiatry
- Published
- 2013-08-29
- Volume
- 13
- Issue
- 1
- Pages
- 217-217
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC3765818
- OpenAlex
- W2057464829
- Cited by
- 23
- References
- 29
- Citations by year
- 2024: 4 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 4
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Dignity and Privacy
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- humiliation, psychiatric emergency admission, involuntary admission, sociodemographic factors, psychopathology, hostility, entitlement, narcissism, self-esteem, Cantril Ladder, mental health service users
- MeSH terms
- Adult, Mental Disorders, Commitment of Persons with Psychiatric Disorders, Emergency Services, Psychiatric, Emotions, Female, Hospitalization, Humans, Male, Middle Aged, Perception, Social Stigma
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