Predictors of involuntary patients’ satisfaction with care: prospective study
Open accessAbstract
Background: Involuntary admission can be traumatic and is associated with negative attitudes that persist after the episode of illness has abated. Aims: We aimed to prospectively assess satisfaction with care at the points of involuntary admission and symptomatic recovery, and identify their sociodemographic, clinical and service experience predictors. Method: Levels of satisfaction with care, and clinical and sociodemographic variables were obtained from a representative cohort of 263 patients at the point of involuntary admission and from 155 of these patients 3 months after termination of the involuntary admission. Data were analysed with multiple linear regression modelling. Results: Higher baseline awareness of illness (B = 0.19, P < 0.001) and older age (B = 0.05, P = 0.001) were associated with more satisfaction with care at baseline and follow-up. Transition to greater satisfaction with care was associated with improvements in awareness of illness (B = 0.13, P < 0.001) and in symptoms (B = 0.05, P = 0.02), as well as older age (B = 0.04, P = 0.01). Objective coercive experiences were not associated with variation in satisfaction with care. Conclusions: There is wide variation in satisfaction with coercive care. Greater satisfaction with care is positively associated with clinical variables such as increased awareness of illness. Declaration of interest: None.
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Satisfaction was initially lower among involuntary patients.
“A further study found that while satisfaction was initially lower among involuntary patients, post-discharge satisfaction was similar between groups (115).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [115]
The Results section (‘Satisfaction with involuntary care’; page not provided) reports that satisfaction among involuntary patients improved significantly from baseline to follow-up. But the study followed an involuntary cohort rather than comparing involuntary and voluntary groups, so it does not establish that involuntary patients initially had lower satisfaction than another group. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPost-discharge satisfaction was similar between groups.
“A further study found that while satisfaction was initially lower among involuntary patients, post-discharge satisfaction was similar between groups (115).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [115]
The Results section, ‘Satisfaction with involuntary care’ (page unavailable), reports improved satisfaction between baseline and follow-up among involuntarily admitted patients. The Methods section, ‘Study design’ (page unavailable), describes follow-up of those patients, but our copy does not report a comparison with another patient group at either time point. I searched for voluntary-patient comparisons and similar post-discharge satisfaction between groups. (LLM, conf=0.77)
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- Authors
- Bainbridge, E., Hallahan, B., McGuinness, D., Gunning, P., Newell, J., Higgins, A., Murphy, K., & McDonald, C.
- Affiliations
- Ollscoil na Gaillimhe – University of Galway (IE)
- Corresponding author
- McDonald, Colm
- Venue
- BJPsych Open
- Publisher
- Royal College of Psychiatrists
- Published
- 2018-11
- Volume
- 4
- Issue
- 6
- Pages
- 492-500
- ISSN
- 2056-4724 (ISSN-L)
- PMC
- PMC6293452
- OpenAlex
- W2901440012
- Cited by
- 14
- References
- 36
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 1
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BJPsych Open (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Mental Health Commission
- 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, patient satisfaction, coercive care, involuntary treatment, disease awareness, symptom awareness, age, predictors of satisfaction, psychiatric inpatient care
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