The DOI matches its Crossref record; 26 of the 28 references it cites were found in a registry or an index.
Information, consent and perceived coercion: patients' perspectives on electroconvulsive therapy
Open accessAbstract
Background: Electroconvulsive therapy (ECT) is a procedure that attracts special safeguards under common law for voluntary patients and under both current and proposed mental health legislation, for those receiving compulsory treatment. Aims: To review patients' views on issues of information, consent and perceived coercion. Method: Seventeen papers and reports were identified that dealt with patients' views on information and consent in relation to ECT; 134 ‘testimonies' or first-hand accounts were identified. The papers and reports were subjected to a descriptive systematic review. The testimony data were analysed qualitatively. Results: Approximately half the patients reported that they had received sufficient information about ECT and side-effects. Approximately a third did not feel they had freely consented to ECTeven when they had signed a consent form. Clinician-led research evaluates these findings to mean that patients trust their doctors, whereas user-led work evaluates similar findings as showing inadequacies in informed consent. Conclusion: Neither current nor proposed safeguards for patients are sufficient to ensure informed consent with respect to ECT, at least in England and Wales.
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In the citing paper
“In a review of the literature on patients’ perspectives of electroconvulsive therapy, it was documented that only 50% of patients felt they were given sufficient information”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [62]
In the citing paper
“and a third felt they did not consent freely to receiving electroconvulsive therapy despite having signed the consent form”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [62]
In the citing paper
“indicating that lack of information led to feeling coerced [62].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [62]
Citations
Cites
Qualitative Researching with Text, Image and Sound
Bauer, M., & GASKELL, G. D. (2000) · SAGE Publications Ltd eBooks · doi:10.4135/9781849209731 · Cited by 1,294
Qualitative researching with text, image and sound : a practical handbook
Bauer, M. W., & GASKELL, G. D. (2000) · Cited by 652
Patients' perspectives on electroconvulsive therapy: systematic review
Rose, D., Fleischmann, P., Wykes, T., Leese, M., & Bindman, J. (2003) · BMJ · doi:10.1136/bmj.326.7403.1363 · Cited by 497
Self-citationPerceived Coercion in Mental Hospital Admission: Pressures and Process
Lidz, C. W. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950240052010 · Cited by 273
Monahan, J. T., Hoge, S. K., Lidz, C. W., Roth, L. H., Bennett, N. S., Gardner, W. P., & Mulvey, E. P. (1995) · International Journal of Law and Psychiatry · doi:10.1016/0160-2527(95)00010-f · Cited by 247
ECT: I. Patients' Experiences and Attitudes
Freeman, C. P. L., & Kendell, R. E. (1980) · The British Journal of Psychiatry · doi:10.1192/bjp.137.1.8 · Cited by 203
ECT: II: Patients who Complain
Freeman, C. P. L., Weeks, D. J., & Kendell, R. E. (1980) · The British Journal of Psychiatry · doi:10.1192/bjp.137.1.17 · Cited by 91
ECT: Misconceptions and Attitudes
Kerr, R., McGrath, J. J., O’Kearney, R., & Price, J. (1982) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678209159469 · Cited by 77
Adverse psychological effects of ECT
Johnstone, L. (1999) · Journal of Mental Health · doi:10.1080/09638239917652 · Cited by 70
Auditing electroconvulsive therapy
Duffet, R., & Lelliott, P. T. (1998) · The British Journal of Psychiatry · doi:10.1192/bjp.172.5.401 · Cited by 59
Flagged first, then by citations
2 of the 28 references couldn’t be matched to a known paper.
Research works printed but not linked: 6
- 1999, Questionnaire Results to March'99
- 1999, Report of the Expert Committee
- 2002, Draft Mental Health Bill
- 10.1016/S0025-6196(11)63993-1 · DOI
- Pedler, 2000, Shock Treatment: A Survey of Peoples Experience of Electro–Convulsive Therapy (ECT)
- 1995, ECT Survey: The National Experience
Cited by
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Shared Decision-Making and Evidence-Based Practice
Adams, J. R., & Drake, R. E. (2006) · Community Mental Health Journal · doi:10.1007/s10597-005-9005-8 · Cited by 302
Semrau, M., Lempp, H., Keynejad, R., Evans-Lacko, S., Mugisha, J., Raja, S., Lamichhane, J., Alem, A., Thornicroft, G., & Hanlon, C. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1323-8 · Cited by 216
Lally, J., Tully, J., Robertson, D., Stubbs, B., Gaughran, F., & MacCabe, J. H. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.01.024 · Cited by 177
Cognitive Side Effects of Brief Pulse Electroconvulsive Therapy
Ingram, A., Saling, M. M., & Schweitzer, I. (2008) · Journal of Ect · doi:10.1097/yct.0b013e31815ef24a · Cited by 151
Discrimination against people with mental illness: what can psychiatrists do?
Thornicroft, G., Rose, D. S., & Mehta, N. (2010) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.107.004481 · Cited by 135
Self-citation
Metadata
- Authors
- Rose, D. S., Wykes, T. H., Bindman, J. P., & Fleischmann, P. S.
- Affiliations
- King's College London (GB)
- Corresponding author
- Rose, Dana S.
- ORCID
- Wykes, Til H.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2005-01
- Volume
- 186
- Issue
- 1
- Pages
- 54-59
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2114874120
- Cited by
- 102
- References
- 28
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 8 · 2015: 2 · 2014: 5 · 2013: 8 · 2012: 18
- FWCI
- 0.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- electroconvulsive therapy, informed consent, perceived coercion, patient perspectives, patient information, involuntary treatment, mental health law, patient testimony
- MeSH terms
- Mental Disorders, Electroconvulsive Therapy, England, Humans, Informed Consent, Patient Education as Topic, Wales
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