TY - JOUR PY - 2020// TI - Schizophrenia, human rights and access to health care: a systematic search and review of judgements by the European Court of Human Rights JO - International journal of social psychiatry A1 - Wigand, Moritz E. A1 - Orzechowski, Marcin A1 - Nowak, Marianne A1 - Becker, Thomas A1 - Steger, Florian SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Persons with schizophrenia are vulnerable regarding human rights violations. AIMS: The aim of this research is to systematically analyse judgements by the European Court of Human Rights (ECtHR) involving persons with schizophrenia. METHODS: A systematic search of judgements by the ECtHR, using the search term 'schizophrenia'. Descriptive statistics and a qualitative thematic analysis were performed. RESULTS: A total of nā=ā105 judgements were included, originating in nā=ā29 countries. Article 5 (Right to liberty and security) of the European Convention on Human Rights was ruled by the ECtHR to have been violated in 45.7% of judgements, Article 3 (Prohibition of torture) in 20.0% and Article 8 (Right to respect for private and family life) in 19.0%. Relevant themes were inadequate access to mental health care, especially in prisons and during police operations, involuntary confinement, detention and ill-treatment as a risk factor for psychosis, the right to family life versus the rights of others, extradition/expulsion and protection of other persons' human rights against violent behaviour by persons with schizophrenia. DISCUSSION: Persons with schizophrenia often do not receive adequate treatment and are especially vulnerable in prisons, where ill-treatment can be an additional risk factor. They can have both offender and victim status. The judgements suggest that the ECtHR has a balanced view on involuntary confinement. National legislation and internal hospital guidelines should be written in a manner to help minimise human rights violations against persons with schizophrenia.
Language: en
LA - en SN - 0020-7640 UR - http://dx.doi.org/10.1177/0020764020942797 ID - ref1 ER -