Hotzy Florian, Kerner Jeff, Maatz Anke, Jaeger Matthias, Schneeberger Andres R
Department for Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, Zurich, Switzerland.
Montefiore Medical Center, Bronx, NY, United States.
Front Psychiatry. 2018 Jun 19;9:267. doi: 10.3389/fpsyt.2018.00267. eCollection 2018.
Involuntary hospitalization is a frequently discussed intervention physicians must sometimes execute. Because this intervention has serious implications for the citizens' civil liberties it is regulated by law. Every country's health system approaches this issue differently with regard to the relevant laws and the logistical processes by which involuntary hospitalization generally is enacted. This paper aims at analyzing the regulation and process of involuntary hospitalization in New York (United States) and Zurich (Switzerland). Comparing the respective historical, political, and economic backgrounds shows how notions of risk and liberty are culture-bound and consequently shape legislation and local practices. It is highly relevant to reconsider which criteria are required for involuntary hospitalization as this might shape the view of society on psychiatric patients and psychiatry itself. Furthermore, this article discusses the impact that training and experience of the person authorized to conduct and maintain an involuntary hospitalization has on the outcome.
非自愿住院治疗是医生有时必须执行的一种经常被讨论的干预措施。由于这种干预措施对公民的公民自由有严重影响，因此受到法律的规范。每个国家的卫生系统在相关法律以及通常实施非自愿住院治疗的后勤流程方面对这个问题的处理方式都有所不同。本文旨在分析美国纽约和瑞士苏黎世的非自愿住院治疗的规范和流程。比较各自的历史、政治和经济背景可以看出，风险和自由的观念是受文化约束的，因此塑造了立法和地方实践。重新考虑非自愿住院治疗需要哪些标准是非常相关的，因为这可能会塑造社会对精神科患者和精神病学本身的看法。此外，本文还讨论了被授权进行和维持非自愿住院治疗的人员的培训和经验对结果的影响。
