Ethnicity and coercion among involuntarily detained psychiatric in-patients
Open accessAbstract
We assessed whether adult Black and minority ethnic (BME) patients detained for involuntary psychiatric treatment experienced more coercion than similar White patients. We found no evidence of this from patient interviews or from hospital records. The area (mental health trust) where people were treated was strongly associated with both the experience of coercion and the recording of a coercive measure in their records. Regarding charges of institutional racism in psychiatry, this study highlights the importance of investigating the role of area characteristics when assessing the relationship between ethnicity and patient management.
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Several studies found no significant association between race and perceived coercion.
“However, several studies found no significant association between race and perceived coercion [15,65,78,89,103,130,154].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [78]
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Cites
Cantril, H. (1965) · Cited by 2,003 · see citing works
Patients' views and readmissions 1 year after involuntary hospitalisation
Priebe, S., Katsakou, C., Amos, T., Leese, M., Morriss, R. K., Rose, D. S., Wykes, T., & Yeeles, K. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.108.052266 · Cited by 216 · see citing works
Self-citationDisruptive and dangerous behaviour by patients on acute psychiatric wards in three European centres
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Gudjonsson, G. H., Rabe‐Hesketh, S., & SZMUKLER, G. I. (2004) · The British Journal of Psychiatry · doi:10.1192/bjp.184.3.258 · Cited by 107 · see citing works
Perceived coercion among patients admitted to acute wards in Norway
Iversen, K. I., Høyer, G., Sexton, H., & Grønli, O. K. (2002) · Nordic Journal of Psychiatry · doi:10.1080/08039480260389352 · Cited by 101 · see citing works
Measuring racial bias in inpatient treatment
Flaherty, J. A., & Meagher, R. (1980) · American Journal of Psychiatry · doi:10.1176/ajp.137.6.679 · Cited by 100 · see citing works
Dimensions of Institutional Racism in Psychiatry
Sabshin, M., Diesenhaus, H. I., & Wilkerson, R. G. (1970) · American Journal of Psychiatry · doi:10.1176/ajp.127.6.787 · Cited by 97 · see citing works
Institutional racism in British psychiatry
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Ethnicity in psychiatric epidemiology: Need for precision
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Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study
Katsakou, C., Marougka, S., Garabette, J., Rost, F., Yeeles, K., & Priebe, S. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2011.01.001 · Cited by 84 · see citing works
Self-citationThe development, validation, and feasibility of the Experienced Coercion Scale
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Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review
Lessard-Deschênes, C., Pariseau-Legault, P., Billé, V., Sergerie-Richard, S., Hudson, E., Silva, B., Drouin, J.-S., Désilets, M., & Goulet, M.-H. (2025) · Healthcare · doi:10.3390/healthcare13151868 · Cited by 10 · see citing works
- Authors
- Bennewith, O., Amos, T., Lewis, G., Katsakou, C., Wykes, T., Morriss, R., & Priebe, S.
- Affiliations
- University of Bristol (GB)
- Queen Mary University of London (GB)
- University of Nottingham (GB)
- Corresponding author
- Bennewith, Olive
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2010-01
- Volume
- 196
- Issue
- 1
- Pages
- 75-76
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2086377174
- Cited by
- 71
- References
- 10
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 1 · 2022: 1 · 2021: 32 · 2020: 3 · 2019: 3 · 2018: 1 · 2016: 3 · 2015: 1 · 2014: 1 · 2013: 7 · 2012: 6
- FWCI
- 4.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Explore Bristol Research (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- Queen Mary University of London
- National Institute for Health and Care Research (0230072, RP-PG-0606-1050)
- Barts and The London School of Medicine and Dentistry
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- involuntary psychiatric detention, coercion in mental health care, institutional racism, ethnic disparities, area deprivation, mental health trusts, coercive measures, patient experience
- MeSH terms
- Adult, Coercion, Commitment of Mentally Ill, Commitment of Persons with Psychiatric Disorders, United Kingdom, Hospitals, Psychiatric, Humans, Prejudice, Mentally Ill Persons, Persons with Psychiatric Disorders, Black People, White People, Asian People
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