Factors associated with involuntary admission to psychiatric facilities in Newfoundland.
To assess what factors determine the involuntary status of psychiatric patients, we reviewed the case records of 5729 patients consecutively admitted to one of four inpatient psychiatric facilities, including a mental hospital, in St. John's between October 1975 and October 1978. Of the 5729 pa...
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ftpubmed:oai:pubmedcentral.nih.gov:1492171 2023-05-15T17:22:32+02:00 Factors associated with involuntary admission to psychiatric facilities in Newfoundland. Malla, A Norman, R M Helmes, E 1987-06-01 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1492171 http://www.ncbi.nlm.nih.gov/pubmed/3567777 en eng http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1492171 http://www.ncbi.nlm.nih.gov/pubmed/3567777 Research Article Text 1987 ftpubmed 2013-08-31T02:57:44Z To assess what factors determine the involuntary status of psychiatric patients, we reviewed the case records of 5729 patients consecutively admitted to one of four inpatient psychiatric facilities, including a mental hospital, in St. John's between October 1975 and October 1978. Of the 5729 patients 5005 (87.4%) were voluntary and 724 (12.6%) involuntary. Involuntary patients were more likely than voluntary patients to be male, single and unemployed and to have been referred by police or transferred from another facility to the mental hospital, where most of the involuntary admissions occurred. They had higher rates of previous admissions to a psychiatric facility and of suicidal and violent behaviour, were more likely to have a diagnosis of schizophrenia or mania and were less likely to be suffering from depression or a neurotic disorder. In correspondence with differences in diagnosis, involuntary patients stayed in hospital more than twice as long as voluntary patients, were less likely to receive electroconvulsive therapy, minor tranquillizers and antidepressants, and were more likely to receive neuroleptics and lithium carbonate. Stepwise logistic regression analysis revealed that only the source of referral and a diagnosis of neurotic disorder had an independent effect on admission status. The findings are discussed in the context of the controversy over the parens patriae approach v. the legal approach to involuntary admission of psychiatric patients. Text Newfoundland PubMed Central (PMC) |
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Research Article Malla, A Norman, R M Helmes, E Factors associated with involuntary admission to psychiatric facilities in Newfoundland. |
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Research Article |
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To assess what factors determine the involuntary status of psychiatric patients, we reviewed the case records of 5729 patients consecutively admitted to one of four inpatient psychiatric facilities, including a mental hospital, in St. John's between October 1975 and October 1978. Of the 5729 patients 5005 (87.4%) were voluntary and 724 (12.6%) involuntary. Involuntary patients were more likely than voluntary patients to be male, single and unemployed and to have been referred by police or transferred from another facility to the mental hospital, where most of the involuntary admissions occurred. They had higher rates of previous admissions to a psychiatric facility and of suicidal and violent behaviour, were more likely to have a diagnosis of schizophrenia or mania and were less likely to be suffering from depression or a neurotic disorder. In correspondence with differences in diagnosis, involuntary patients stayed in hospital more than twice as long as voluntary patients, were less likely to receive electroconvulsive therapy, minor tranquillizers and antidepressants, and were more likely to receive neuroleptics and lithium carbonate. Stepwise logistic regression analysis revealed that only the source of referral and a diagnosis of neurotic disorder had an independent effect on admission status. The findings are discussed in the context of the controversy over the parens patriae approach v. the legal approach to involuntary admission of psychiatric patients. |
format |
Text |
author |
Malla, A Norman, R M Helmes, E |
author_facet |
Malla, A Norman, R M Helmes, E |
author_sort |
Malla, A |
title |
Factors associated with involuntary admission to psychiatric facilities in Newfoundland. |
title_short |
Factors associated with involuntary admission to psychiatric facilities in Newfoundland. |
title_full |
Factors associated with involuntary admission to psychiatric facilities in Newfoundland. |
title_fullStr |
Factors associated with involuntary admission to psychiatric facilities in Newfoundland. |
title_full_unstemmed |
Factors associated with involuntary admission to psychiatric facilities in Newfoundland. |
title_sort |
factors associated with involuntary admission to psychiatric facilities in newfoundland. |
publishDate |
1987 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1492171 http://www.ncbi.nlm.nih.gov/pubmed/3567777 |
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Newfoundland |
genre_facet |
Newfoundland |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1492171 http://www.ncbi.nlm.nih.gov/pubmed/3567777 |
_version_ |
1766109259200724992 |