Rafrafi Rym, Bergaoui Haifa, Bram Nesrine, Bahrini Lilia, Robbana Leila, Melki Wahid, El Hechmi Zouheir
Tunis Med. 2013 Oct;91(10):583-8.
The law 92-83, has established the rights of the mentally ill to respect for individual freedom and to appropriate care. However some gaps in its implementation led to the revision by Act 2004-40.
To study the evolution of the number of admissions with and without consent (hospitalizations at the request of a third party and compulsory hospitalizations), between 2000 and 2009.
Retrospective study of the archives of the mental health unit of Razi hospital. The study population included inpatients under the mode of voluntary and involuntary admission either compulsory hospitalizations or at the request of a third party.
An increase in the number of hospitalizations without the consent from 2000 to 2009 was noted. The number of compulsory hospitalizations and the one of hospitalizations at the request of a third party rose respectively from 1,048 to 1,443 and from 22 to 1,323. So the number of free hospitalizations has decreased while the number of involuntary hospitalizations has increased, leading to a constant number of total hospitalizations. The sex ratio for compulsory hospitalizations has increased from 2.04 to 5.83 while it markedly decreased for hospitalizations at the request of a third party (from 10 to 1.7).Men, unlike women, were more likely to be hospitalized compulsorily than at the request of a third party.
There is a larger use of hospital admissions under constraints than free ones; is it due to a concern for the respect of law or an abuse in the deprivation of freedom for some patients?
第92 - 83号法律确立了精神病患者享有尊重个人自由和获得适当护理的权利。然而，其实施过程中的一些差距导致了2004 - 40号法案对其进行修订。
研究2000年至2009年间，有同意和无同意情况下的住院人数（第三方要求住院和强制住院）的变化情况。
对拉齐医院精神卫生科档案进行回顾性研究。研究人群包括自愿和非自愿入院模式下的住院患者，即强制住院或第三方要求住院的患者。
注意到2000年至2009年间未经同意的住院人数有所增加。强制住院人数和第三方要求住院人数分别从1048人增至1443人，从22人增至1323人。因此，自由住院人数减少，而非自愿住院人数增加，导致住院总数保持不变。强制住院的性别比从2.04增至5.83，而第三方要求住院的性别比则显著下降（从10降至1.7）。与女性不同，男性被强制住院的可能性高于第三方要求住院的可能性。
与自由住院相比，在受限情况下的住院使用更为频繁；这是出于对法律尊重的考虑，还是对一些患者自由剥夺的滥用？
