TY  - JOUR
PY  - 2016//
TI  - A study of the connection between coercive measures used in a closed acute psychiatric ward and the socio-demographic and clinical characteristics of the patients involved
JO  - Tijdschrift voor Psychiatrie
A1  - Miedema, N.
A1  - Hazewinkel, M. C.
A1  - van Hoeken, D.
A1  - van Amerongen, A. S.
A1  - de Winter, Remco F. P.
SP  - 434
EP  - 445
VL  - 58
IS  - 6
N2  - BACKGROUND: Admission at a closed acute psychiatric ward is a severe and possibly life changing experience for a patient. Sometimes admission is accompanied by coercive measures. Despite the impact that these measures may have on the patient, very little research has been published concerning this patient population.<br/> AIM: To obtain insight into the connection between the socio-demographic characteristics of patients admitted to a closed acute psychiatric ward and the coercive measures to which they were subjected.<br/> METHOD: For a year a database was compiled to give us information about the socio-demographic and clinical characteristics of patients admitted to a closed acute psychiatric ward in The Hague in the Netherlands. This record enables us to analyse the relation between these characteristics and coercive measures. <br/> RESULTS: The majority of patients admitted were male, single, childless and were unemployed or not in education but were receiving some form of welfare payment. 33% of admissions were in fact re-admissions. 20% of the admissions/re-admissions were secluded during the admission procedure - for the following reasons: symptoms of a psychotic disorder, a manic episode and/or aggression. Secluded patients were younger and had more serious psychiatric problems; they functioned less well and had been in hospital longer than patients who had not been secluded upon admission. During the admission procedure 14% of patients received emergency medication.<br/> CONCLUSION: These results have given us more insight into the connection between the use of coercive measures in psychiatry and the socio-demographic characteristics and clinical characteristics of the patients involved. This information could serve as reference material for future research.<p />  <p>Language: nl</p>
LA  - nl
SN  - 0303-7339
UR  - http://dx.doi.org/
ID  - ref1
ER  -