Academic Unit, Newham Centre for Mental Health, London, UK.
Br J Psychiatry. 2010 Mar;196(3):179-85. doi: 10.1192/bjp.bp.109.068916.
Legislation and practice of involuntary hospital admission vary substantially among European countries, but differences in outcomes have not been studied.
To explore patients' views following involuntary hospitalisation in different European countries.
In a prospective study in 11 countries, 2326 consecutive involuntary patients admitted to psychiatric hospital departments were interviewed within 1 week of admission; 1809 were followed up 1 month and 1613 3 months later. Patients' views as to whether the admission was right were the outcome criterion.
In the different countries, between 39 and 71% felt the admission was right after 1 month, and between 46 and 86% after 3 months. Females, those living alone and those with a diagnosis of schizophrenia had more negative views. Adjusting for confounding factors, differences between countries were significant.
International differences in legislation and practice may be relevant to outcomes and inform improvements in policies, particularly in countries with poorer outcomes.
在欧洲各国，非自愿住院治疗的立法和实践存在很大差异，但尚未研究其结果的差异。
探讨不同欧洲国家非自愿住院治疗后患者的观点。
在 11 个国家的前瞻性研究中，在入院后 1 周内对 2326 名连续非自愿住院的精神科患者进行了访谈；1809 名患者在 1 个月后进行了随访，1613 名患者在 3 个月后进行了随访。患者对入院是否正确的看法是结果标准。
在不同国家，1 个月后有 39%至 71%的患者认为入院是正确的，3 个月后有 46%至 86%的患者认为入院是正确的。女性、独居者和精神分裂症患者的观点更为消极。调整混杂因素后，国家间的差异具有统计学意义。
立法和实践方面的国际差异可能与结果相关，并为政策改进提供信息，特别是在结果较差的国家。
