Perceived coercion and need for hospital admission among psychiatric in-patients: figures from a Pakistani tertiary care hospital
Open accessAbstract
In Pakistan, an increasing proportion of psychiatric patients present to community health services as crisis admissions, with their relatives as the main decision makers. Patients are bound to perceive this process as coercive. Farnham & James (2000) report that elements of coercion are found even in voluntary hospital admission, in the form of verbal persuasion, physical force and threats of commitment. Few patients consider hospitalisation justified and most view the process of admission negatively (Swartz et al, 2003; Katsakou & Priebe, 2006; Priebe et al, 2009).
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Older age was associated with higher perceived coercion in two studies.
“However, older age was associated with higher perceived coercion in two studies [64,93]”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [93]
Participants over 30 were twice as likely to have high perceived coercion scores in one study.
“with one specifying that participants over 30 were twice as likely to have high perceived coercion scores [93].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [93]
Many voluntary patients also reported feeling coerced.
“Notably, many voluntary patients also reported feeling coerced [15,35,44,54,60,64,93,105,115]”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [93]
One study indicated that more voluntary patients (89%) than involuntary patients (21%) perceived coercion.
“with one study indicating that more voluntary patients (89%) than involuntary patients (21%) perceived coercion [93].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [93]
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Cites
Two scales for measuring patients’ perceptions for coercion during mental hospital admission
Gardner, W., Hoge, S. K., Bennett, N., Roth, L. H., Lidz, C. W., Monahan, J., & Mulvey, E. P. (1993) · Behavioral Sciences & the Law · doi:10.1002/bsl.2370110308 · Cited by 342 · see citing works
Swartz, M. S., Swanson, J. W., & Hannon, M. J. (2003) · Behavioral Sciences & the Law · doi:10.1002/bsl.539 · Cited by 172 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- Bonsack, C. & Borgeat, F. (2005) Perceived coercion and need for hospitaliz ation related to psychiatric admission. International Journal of Law and Psychiatry, 28, 342-347.
- Hiday, V. A., Swartz, M. S., Swanson, J., et al (1997) Patient perceptions of coercion in mental hospital admission. International Journal of Law and Psychiatry, 20, 227-241.
- Iversen, K. I., Høyer, G. & Sexton, H. C. (2007) Coercion and patient satis- faction on acute psychiatric wards. International Journal of Law and Psychiatry, 30, 504-511.
- Katsakou, C. & Priebe, S. (2006) Outcomes of involuntary hospital admis- sions -a review. Acta Psychiatrica Scandinavica, 114, 232-241.
- Nicholson, R. A., Ekenstam, C. & Norwood, S. (1996) Coercion and outcome of psychiatric hospitalization. International Journal of Law and Psychiatry, 19, 201-217
- Priebe, S., Katsakou, C., Amos, T., et al (2009) Patients' views and re- admissions 1 year after hospitalisation. British Journal of Psychiatry, 194, 49-54.
Cited by
Sorted by citations
Experiences of coercion amongst involuntary mental health care users in KwaZulu-Natal, South Africa
Shozi, Z., Saloojee, S., & Mashaphu, S. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1113821 · Cited by 13 · see citing works
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
- Zuberi, S. I., Sajid, A., Yousafzai, A. W., Bhutto, N., & Khan, M. M.
- Affiliations
- Aga Khan University (PK)
- Indiana University School of Medicine (US)
- Aga Khan University Hospital (PK)
- Venue
- International Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2011-02
- Volume
- 8
- Issue
- 1
- Pages
- 14-16
- ISSN
- 1749-3676 (ISSN-L)
- PMC
- PMC6734997
- OpenAlex
- W2782898256
- Cited by
- 2
- References
- 2
- Citations by year
- 2025: 1 · 2023: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- IUScholarWorks (Indiana University) (submittedVersion, cc-by-nc-nd)
- 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
- perceived coercion, involuntary admission, psychiatric inpatients, voluntary admission, family decision-making, Pakistan
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