精神科急诊服务中民事强制住院评估中使用强制留院的因素。
Factors in the use of coercive retention in civil commitment evaluations in psychiatric emergency services.
作者信息
Segal S P, Laurie T A, Segal M J
机构信息
Mental Health and Social Research Group, School of SocialWelfare, University of Southern California, Berkeley, 94720, USA.
出版信息
Psychiatr Serv. 2001 Apr;52(4):514-20. doi: 10.1176/appi.ps.52.4.514.
OBJECTIVE
The authors examined whether factors other than civil commitment criteria influence the involuntary retention of patients who are evaluated for civil commitment in psychiatric emergency services in California general hospitals.
METHODS
Logistic regression analysis was used to determine whether admission criteria, institutional constraints, social biases, and procedural justice indicators contributed to the use of coercive retention in the evaluations of 583 patients in the psychiatric emergency services of nine California county general hospitals.
RESULTS
Of the 583 patients, 109 (18.7 percent) were retained against their wishes. Clinicians relied primarily on admission criteria in making the decision to retain a patient, which suggests that patients were generally afforded procedural due process during the evaluation in the psychiatric emergency service. Staff workload was a possible factor in violations of due process.
CONCLUSIONS
Psychiatric emergency services need additional resources to ensure procedural due process protection for patients who are being evaluated for civil commitment.
目的
作者研究了除民事强制住院标准之外的其他因素，是否会影响在加利福尼亚综合医院精神科急诊服务中接受民事强制住院评估的患者被非自愿留院的情况。
方法
采用逻辑回归分析，以确定入院标准、机构限制、社会偏见和程序正义指标，是否导致了加利福尼亚九家县综合医院精神科急诊服务中583名患者在评估时被强制留院。
结果
在583名患者中，109名（18.7%）被违背意愿留院。临床医生在决定留院患者时主要依据入院标准，这表明在精神科急诊服务评估期间，患者通常得到了程序正当程序。工作人员工作量可能是违反正当程序的一个因素。
结论
精神科急诊服务需要额外资源，以确保对接受民事强制住院评估的患者给予程序正当程序保护。
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