DETECT, Early Intervention in Psychosis Service, Avila House, Block 5, Blackrock Business Park, Blackrock, Co Dublin, Ireland.
Eur Psychiatry. 2011 May;26(4):208-14. doi: 10.1016/j.eurpsy.2010.01.014. Epub 2010 Jun 9.
We sought to determine the level of procedural justice experienced by individuals at the time of involuntary admission and whether this influenced future engagement with the mental health services.
Over a 15-month period, individuals admitted involuntarily were interviewed prior to discharge and at one-year follow-up.
Eighty-one people participated in the study and 81% were interviewed at one-year follow-up. At the time of involuntary admission, over half of individuals experienced at least one form of physical coercion and it was found that the level of procedural justice experienced was unrelated to the use of physical coercive measures. A total of 20% of participants intended not to voluntarily engage with the mental health services upon discharge and they were more likely to have experienced lower levels of procedural justice at the time of admission. At one year following discharge, 65% of participants were adherent with outpatient appointments and 18% had been readmitted involuntarily. Insight was associated with future engagement with the mental health services; however, the level of procedural justice experienced at admission did not influence engagement.
This study demonstrates that the use of physical coercive measures is a separate entity from procedural justice and perceived pressures.
我们旨在确定个体在非自愿入院时所经历的程序公正性水平，以及这是否会影响他们未来对精神卫生服务的参与。
在 15 个月的时间内，对非自愿入院的个体在出院前和一年随访时进行了访谈。
81 人参与了这项研究，其中 81%在一年随访时接受了访谈。在非自愿入院时，超过一半的个体经历了至少一种形式的身体强制，并且发现所经历的程序公正性水平与身体强制措施的使用无关。共有 20%的参与者打算在出院时不自愿地参与精神卫生服务，他们在入院时更有可能经历较低水平的程序公正性。在出院后一年，65%的参与者按时参加了门诊预约，18%的人非自愿再次入院。洞察力与未来对精神卫生服务的参与有关；然而，入院时经历的程序公正性水平并不影响参与度。
本研究表明，身体强制措施的使用与程序公正性和感知压力是两个不同的实体。
