Valdes-Stauber Juan, Putzhammer Albert, Kilian Reinhold
Bezirkskrankenhaus Kaufbeuren.
Psychiatr Prax. 2011 May;38(4):190-7. doi: 10.1055/s-0030-1266080. Epub 2011 May 5.
In this study trends in legal guardianship and involuntary treatment in a Bavarian catchment area in comparison to trends at federal state and federal level between 1999 and 2009 will be examined.
Data from the federal department of justice, from the federal health monitoring system and data from a district court were used to compute rates, quotas and quotients. Regression analyses were conducted to analyse associations between time series.
In comparison to the federal state and the federal level the target region shows a significantly higher rate of new guardianships but a lower rate of judicial ordered mobility restrictions and at least in comparison to the federal state level a significantly lower rate of involuntary admissions according to guardianship law.
The obtained differences indicate significant differences in the legal guardianship and involuntary admission practise which cannot be explained by epidemiological developments. Therefore it is necessary to investigate potential socio-cultural and socioeconomic sources for these varieties.
本研究将考察1999年至2009年间巴伐利亚一个集水区内法定监护和非自愿治疗的趋势，并与联邦州和联邦层面的趋势进行比较。
使用联邦司法部、联邦健康监测系统的数据以及地方法院的数据来计算比率、配额和商数。进行回归分析以分析时间序列之间的关联。
与联邦州和联邦层面相比，目标地区新监护率显著更高，但司法下令的行动限制率更低，并且至少与联邦州层面相比，根据监护法的非自愿住院率显著更低。
所获得的差异表明法定监护和非自愿住院实践存在显著差异，而这些差异无法用流行病学发展来解释。因此，有必要调查这些差异潜在的社会文化和社会经济根源。
