A self-destructive care: self-reports of people who experienced coercive measures and their suggestions for alternatives
Abstract
Coercive measures are commonly used as a method of intervention, despite insufficient evidence for their effectiveness and benefits. The aim of this study was to describe how people who self-harm perceive alternatives to coercive measures in relation to actual experiences of psychiatric care. A total of 19 self-reports have been analysed with qualitative content analysis, resulting in three categories: a wish for understanding instead of neglect; a wish for mutual relation instead of distrust; a wish for professionalism instead of a counterproductive care. In conclusion, if the caregivers can understand and collaborate with the patient, there is seldom any need for coercive measures.
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In involuntary psychiatric admission and treatment, people are treated like children.
“being treated like children [15,45,46]”
From “Backed into a Corner”: Lived experiences of receiving and providing involuntary psychiatric treatment under British Columbia’s Mental Health Act (2026) · cites this paper as [45]
Involuntary psychiatric admission and treatment is traumatizing.
“Involuntary psychiatric admission and treatment has been described elsewhere in the literature as traumatizing [45,47]”
From “Backed into a Corner”: Lived experiences of receiving and providing involuntary psychiatric treatment under British Columbia’s Mental Health Act (2026) · cites this paper as [45]
In involuntary psychiatric admission and treatment, coerced medication administration is a taken-for-granted practice.
“coerced medication administration as a “taken-for-granted” practice [45]”
From “Backed into a Corner”: Lived experiences of receiving and providing involuntary psychiatric treatment under British Columbia’s Mental Health Act (2026) · cites this paper as [45]
If people had been listened to and had their needs respected during the time of crisis, treatment could have occurred without coercive measures.
“Qualitative accounts elsewhere further affirm the perspectives of participants in this study: if they had been listened to and had their needs respected during the time of crisis, treatment could have occurred without coercive measures [45].”
From “Backed into a Corner”: Lived experiences of receiving and providing involuntary psychiatric treatment under British Columbia’s Mental Health Act (2026) · cites this paper as [45]
In involuntary psychiatric admission and treatment, people are subjected to chaotic and frightening care environments.
“research from other jurisdictions has found that in the context of involuntary psychiatric admission and treatment, people are subjected to chaotic and frightening care environments [44,45]”
From “Backed into a Corner”: Lived experiences of receiving and providing involuntary psychiatric treatment under British Columbia’s Mental Health Act (2026) · cites this paper as [45]
Involuntary psychiatric admission and treatment leads people to avoid care in the future.
“and leading people to avoid care in the future [45,49]”
From “Backed into a Corner”: Lived experiences of receiving and providing involuntary psychiatric treatment under British Columbia’s Mental Health Act (2026) · cites this paper as [45]
Clinicians listening to, understanding, and respecting patients builds trust and improves quality of care during psychiatric treatment.
“The importance of clinicians listening to, understanding, and respecting patients [15,46] to build trust to improve the quality of care during psychiatric treatment [45] is a common theme in the literature on involuntary psychiatric treatment.”
From “Backed into a Corner”: Lived experiences of receiving and providing involuntary psychiatric treatment under British Columbia’s Mental Health Act (2026) · cites this paper as [45]
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References 44 · Cited by 45
- Authors
- Looi, G.-M. E., Engström, Å., & Sävenstedt, S.
- Affiliations
- Luleå University of Technology (SE)
- Corresponding author
- Looi, Git-Marie Ejneborn
- Venue
- Issues in Mental Health Nursing
- Publisher
- Informa UK Limited
- Published
- 2015-01-27
- Volume
- 36
- Issue
- 2
- Pages
- 96-103
- ISSN
- 0161-2840 (ISSN-L)
- 1096-4673
- OpenAlex
- W2107512504
- Cited by
- 45
- References
- 44
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 8 · 2018: 5 · 2017: 3 · 2016: 4
- FWCI
- 4.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Issues in Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- 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
- coercive measures, self-harm, alternatives to coercion, psychiatric nursing, patient experience, bidirectional relationship, professional care, caregiver-patient relationship
- MeSH terms
- Coercion, Commitment of Persons with Psychiatric Disorders, Female, Humans, Injections, Nurse-Patient Relations, Physician-Patient Relations, Restraint, Physical, Suicide, Attempted, Sweden, Antipsychotic Agents, Self-Injurious Behavior, Treatment Outcome, Patient Satisfaction, Trust, Qualitative Research
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