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Feeling coerced during voluntary and involuntary psychiatric hospitalisation: A review and meta-aggregation of qualitative studies.

作者信息

Silva Benedetta, Bachelard Mizue, Amoussou Joëlle Rosselet, Martinez Debora, Bonalumi Charlotte, Bonsack Charles, Golay Philippe, Morandi Stéphane

机构信息

Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Switzerland.

Cantonal Medical Office, General Directorate for Health of Canton of Vaud, Department of Health and Social Action (DSAS), Lausanne, Switzerland.

出版信息

Heliyon. 2023 Feb 2;9(2):e13420. doi: 10.1016/j.heliyon.2023.e13420. eCollection 2023 Feb.


DOI:10.1016/j.heliyon.2023.e13420
PMID:36820044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9937983/
Abstract

OBJECTIVE: This review aimed to provide an aggregative synthesis of the qualitative evidence on patients' experienced coercion during voluntary and involuntary psychiatric hospitalisation. DESIGN: A qualitative review. DATA SOURCES: The search was conducted, in five bibliographic databases: Embase.com, Ovid MEDLINE(R) ALL, APA PsycINFO Ovid, Web of Science Core Collection and the Cochrane Database of Systematic Reviews. REVIEW METHODS: Following the Joanna Briggs Institute approach, a systematized procedure was applied throughout the review process, from data search to synthesis of results. The reporting of this review was guided by the standards of the PRISMA 2020 statement. The quality of the included studies was critically appraised by two independent reviewers using the JBI Critical Appraisal Checklist. Included findings were synthesized using meta-aggregation. Confidence in the review findings was assessed following the Confidence in the Output of Qualitative research synthesis (ConQual) approach. RESULTS: A total of 423 studies were identified through the literature search and 26 were included in the meta-aggregation. Totally, 151 findings were extracted and aggregated into 27 categories and 7 synthesized findings. The synthesized findings focused on: the patients' experience of the hospitalisation and the associated feeling of coercion; the factors affecting this feeling, such as the involvement in the decision-making process, the relationships with the staff and the perception of the hospital treatment as effective and safe; the coping strategies adopted to deal with it and the patients' suggestions for alternatives. All synthesized findings reached an overall confidence score of "moderate". The seven findings were downgraded one level due to dependability limitations of the included studies. CONCLUSION: Based on these findings, seven recommendations for clinical practice where developed, such as fostering care ethics, promoting patients' voice and shared decision-making, and enhancing patients' perceived closeness, respect and fairness. Five recommendations for future research were also prompted, for instance improving the methodological quality and cultural variation of future qualitative studies, and exploring the psychosocial impact of experienced coercion on patients. For these recommendations to be effectively implemented, a profound change in the structure and culture of the mental health system should be promoted. The involvement of patients in the design, development and scientific evaluation of this change is strongly recommended.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2319/9937983/942ce8157c6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2319/9937983/942ce8157c6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2319/9937983/942ce8157c6f/gr1.jpg

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引用本文的文献

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Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review.

Healthcare (Basel). 2025-7-30

[2]
Relative efficiency of psychiatric clinics in treating cases without coercion and achieving symptom reduction.

Eur Psychiatry. 2025-5-27

[3]
Prevalence of Current Clinical Leverage and Association with Perceived Coercion in Outpatient and Community Psychiatric Settings: A First in Canada Study.

Community Ment Health J. 2025-1-16

[4]
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[5]
Pathways to experienced coercion during psychiatric admission: a network analysis.

BMC Psychiatry. 2024-8-2

[6]
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[7]
A qualitative meta-synthesis of service users' and carers' experiences of assessment and involuntary hospital admissions under mental health legislations: a five-year update.

BMC Psychiatry. 2024-6-27

[8]
Referral pathways to early intervention services for psychosis and their influence on perceptions of care: An interpretive phenomenological analysis.

Early Interv Psychiatry. 2025-1

[9]
Factors and Processes Facilitating Recovery from Coercion in Mental Health Services-A Meta-Ethnography.

Healthcare (Basel). 2024-3-11

[10]
Informal coercion in inpatient mental healthcare: a scoping review protocol.

BMJ Open. 2024-2-15

本文引用的文献

[1]
Perceived fairness as main determinant of patients' satisfaction with care during psychiatric hospitalisation: An observational study.

Int J Law Psychiatry. 2022

[2]
"Voluntary in quotation marks": a conceptual model of psychological pressure in mental healthcare based on a grounded theory analysis of interviews with service users.

BMC Psychiatry. 2022-3-17

[3]
A mixed methods study examining perceptions by service-users of their involuntary admission in relation to levels of insight.

Int J Soc Psychiatry. 2022-12

[4]
[Coercion and urge from a care ethics perspective].

Tijdschr Psychiatr. 2021

[5]
How to properly use the PRISMA Statement.

Syst Rev. 2021-4-19

[6]
Behind the screen of voluntary psychiatric hospital admissions: A qualitative exploration of treatment pressures and informal coercion in experiences of patients in Italy, Poland and the United Kingdom.

Int J Soc Psychiatry. 2022-3

[7]
The Joint Crisis Plan: A Powerful Tool to Promote Mental Health.

Front Psychiatry. 2021-3-19

[8]
Perceived Coercion of Persons with Mental Illness Living in a Community.

Int J Environ Res Public Health. 2021-2-25

[9]
Dignity: The elephant in the room in psychiatric inpatient care? A systematic review and thematic synthesis.

Int J Law Psychiatry. 2021

[10]
Mental health professionals' feelings and attitudes towards coercion.

Int J Law Psychiatry. 2021

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