Morris Nathaniel P, Kleinman Robert A
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Morris); Department of Psychiatry, University of Toronto, and Centre for Addiction and Mental Health, Toronto (Kleinman).
Psychiatr Serv. 2023 Apr 1;74(4):431-433. doi: 10.1176/appi.ps.20220296. Epub 2022 Sep 21.
The field of psychiatry has placed a growing emphasis on research-based diagnostic and treatment practices related to mental illness. Involuntary hospitalization is a controversial and potentially lifesaving intervention in psychiatric care; yet, to what degree is this practice evidence based? This Open Forum examines the ethical and logistical limitations to traditional research, such as randomized controlled trials and observational studies, surrounding involuntary psychiatric hospitalization. Given recent efforts across the United States to expand the use of involuntary hospitalization, the authors call for systematic data collection to monitor, study, and guide the use of this intervention.
精神病学领域越来越重视基于研究的与精神疾病相关的诊断和治疗方法。非自愿住院治疗在精神科护理中是一种有争议但可能挽救生命的干预措施；然而，这种做法在多大程度上是基于证据的呢？这个开放论坛探讨了传统研究（如随机对照试验和观察性研究）在非自愿精神科住院治疗方面的伦理和后勤限制。鉴于美国最近为扩大非自愿住院治疗的使用所做的努力，作者呼吁进行系统的数据收集，以监测、研究和指导这种干预措施的使用。
