Kallert Thomas W
Park Hospital Leipzig, Department of Psychiatry, Psychosomatic Medicine, and Psychotherapy, Leipzig, Germany.
Srp Arh Celok Lek. 2011 Dec;139 Suppl 1:14-20. doi: 10.2298/sarh11s1014k.
The general aims of this article are: a) to cover the current status of research on the important clinical and human rights issue of involuntary psychiatric hospitalization, and b) to discuss some factors which might influence future developments in this area of mental health care provision. Firstly, the article will outline main results from two literature reviews on outcomes of involuntary hospital admission. Secondly, selected results from the clinical part of a recent European multi-site research project on coercion in psychiatry (Acronym: EUNOMIA) will be presented in detail on the following issues: the association of patients' views of involuntary hospital admission and differences in legislation, patient characteristics associated with more or less positive outcomes of coerced hospital admission, coercive measures (e.g. mechanical restraint, seclusion and forced medication) used during these hospitalizations. Thirdly and finally, the article will shed some light on future prospects of this topic. Thus, some recommendations for best clinical practice in the use of involuntary hospital admission will be discussed, and arguments for two future scenarios, increase vs. decrease of involuntary psychiatric hospitalizations, will be contrasted and analyzed.
a）涵盖非自愿精神科住院这一重要临床和人权问题的研究现状，以及b）探讨可能影响该精神卫生保健领域未来发展的一些因素。首先，本文将概述两项关于非自愿住院结果的文献综述的主要结果。其次，将详细介绍最近一项关于精神病学强制治疗的欧洲多中心研究项目（缩写：EUNOMIA）临床部分在以下问题上的选定结果：患者对非自愿住院的看法与立法差异之间的关联、与强制住院或多或少积极结果相关的患者特征、这些住院期间使用的强制手段（如机械约束、隔离和强制用药）。第三也是最后，本文将阐明该主题的未来前景。因此，将讨论关于非自愿住院使用的最佳临床实践的一些建议，并对非自愿精神科住院增加与减少这两种未来情景的论据进行对比和分析。
