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新精神卫生法实施后精神病学领域的自由剥夺

[Deprivation of liberty in psychiatry after introduction of the new psychiatric law].

作者信息

Engberg M

机构信息

Institut for Psykiatrisk Demografi, Psykiatrisk Hospital, Arhus, Risskov.

出版信息

Ugeskr Laeger. 1992 Jun 22;154(26):1822-5.

PMID:1509535
Abstract

This investigation shows that the rate of commitment to mental hospitals in Denmark increased from the year before the introduction of the new Danish psychiatric legislation when it was 24.4 (23.1-25.8) per 100,000 of the population till the year after when it was 28.4 (27.0-29.9) of the population. The increase in the commitment rate may, wholly or partially, be the result of the fact that the deprivation of liberty, which was previously more or less informal, was now registered. The results do not suggest that commitment of non-psychotic patients is employed more frequently than previously. The commitment rates for men and women were found to be identical after introduction of the new legislation. On the basis of data from the closed wards in the Psychiatric Hospital in Arhus, which receives approximately 11% of all committed patients in Denmark, it was found that the total number of admissions where patients were deprived of their liberty was nearly twice that of the number of involuntary admissions in the period immediately after introduction of the legislation. The average duration of involuntary detainment for committed patients was 20 days (1-101 days) and for patients admitted voluntarily but detained involuntarily 10 days (1-104 days). Involuntary detainment of patients admitted voluntarily occurred on an average two days (0-144 days) after admission. Following involuntary admission, significantly more women (51.5%) as compared with men (15.6%) were detained involuntarily whereas men had an excessive risk for deprivation of liberty for more than three days without formal involuntary detainment.

摘要

这项调查表明,丹麦精神医院收治率从新的丹麦精神病学立法出台前的每年每10万人口24.4(23.1 - 25.8)例,升至出台后的每年每10万人口28.4(27.0 - 29.9)例。收治率的上升可能全部或部分归因于此前或多或少属于非正式的自由剥夺情况如今得到了记录。结果并未表明非精神病患者的收治比以前更频繁。新立法实施后,男性和女性的收治率相同。根据奥胡斯精神病院封闭病房的数据(该医院接收丹麦所有收治患者的约11%),发现在立法实施后的一段时间内,被剥夺自由的患者收治总数几乎是非自愿收治数的两倍。收治患者非自愿拘留的平均时长为20天(1 - 101天),自愿入院但被非自愿拘留的患者为10天(1 - 104天)。自愿入院患者的非自愿拘留平均在入院后两天(0 - 144天)发生。非自愿入院后,非自愿被拘留的女性(51.5%)明显多于男性(15.6%),而男性在无正式非自愿拘留的情况下被剥夺自由超过三天的风险更高。

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