Duarte Carlos, Wong Fai, Kwok Wai T, Lau Ka K, Chang Mei I, Ho Cheuk Y
Serviço de Psiquiatria, Centro Hospitalar Conde de São Januário, Macau.
Acta Med Port. 2006 Jan-Feb;19(1):73-8. Epub 2006 Apr 30.
To characterize compulsory treatments done in Macao in the five years after its implementation in 1999.
A descriptive and retrospective study was done consulting the clinical files of persons that did compulsory treatments in Macao in the five years after its implementation.
The court always confirmed the requests for compulsory admissions, 24 patients were admitted and 14 cases (58.3%) were men. The patients had a median age of 37.7 years (SD+/-14.4). The most frequent motive of admission was danger and incapacity to consent treatment, in 16 cases (66.5%). The admission was urgent in 18 cases (75%) and the diagnosis of psychosis was made in 23 cases (95.8%). The length of hospitalization was 69 days (SD+/-47.9; minimum=2; Maximum=170). Compulsory ambulatory treatments were made in 6 cases (25%) and lasted 771 days (SD+/-380.5; minimum=76; Maximum=963). Annually, quotas of compulsory admissions varied between 0% and 2.4% and commitment rates between 0 and 1.7.
Quotas and commitment rates for compulsory admissions appeared inferior compared, for example, to the ones of the European Union. Compulsory treatments were important, allowing to start therapeutics, that otherwise would be impossible, and to overcome dangerous situations. There is a need in Macao to clarify the population and relevant professional sectors about these treatments so that, whenever indicated, patients can benefit from them quickly and in better circumstances.
对1999年实施后的五年里澳门进行的强制治疗进行特征描述。
进行了一项描述性回顾性研究，查阅了澳门在实施后的五年里接受强制治疗者的临床档案。
法院总是批准强制入院申请，24名患者入院，14例（58.3%）为男性。患者的中位年龄为37.7岁（标准差±14.4）。最常见的入院动机是有危险且无同意治疗的能力，共16例（66.5%）。18例（75%）入院是紧急情况，23例（95.8%）被诊断为精神病。住院时间为69天（标准差±47.9；最短=2天；最长=170天）。6例（25%）进行了强制非住院治疗，持续了771天（标准差±380.5；最短=76天；最长=963天）。每年，强制入院配额在0%至2.4%之间，约束率在0至1.7之间。
与例如欧盟的配额和约束率相比，强制入院的配额和约束率似乎较低。强制治疗很重要，能使治疗得以开始，否则这将是不可能的，还能克服危险情况。澳门有必要向公众和相关专业部门阐明这些治疗，以便在有指征时，患者能在更好的情况下迅速从中受益。
