Forensic Mental Health Research Unit Middelfart, Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Denmark; Department of Psychiatry, Middelfart, Mental Health Services Region of Southern Denmark, Denmark; Open Patient data Explorative Network, Denmark.
Universität Ulm, Leiter der Klinik für Psychiatrie und Psychotherapie, Germany.
Int J Law Psychiatry. 2024 May-Jun;94:101992. doi: 10.1016/j.ijlp.2024.101992. Epub 2024 May 18.
In 2019, the Council of Europe agreed to urge member states to take steps toward total abolition of psychiatric coercive measures.
To test if this aspiration is perceived as realistic and what the alternative would be in the event of a total abolition, we surveyed members of the European FOSTREN network of mental health practitioners and researchers, which is specifically dedicated to exchanging knowledge on reducing psychiatric coercion to its minimum.
Web-based survey. Categorical responses were analyzed using frequencies, and free text responses were analyzed through thematic analysis.
In total, out of 167 invitations to FOSTREN network members, 76 responded to the survey (Response Rate 45.5%). A minority (31%) of participating experts dedicated to the reduction of psychiatric coercive measures believed a total abolition to be an achievable goal. A commonly held belief was that total abolition is not achievable because mental health disorders are difficult to treat and may cause violence, necessitating coercion, and there is a need to protect the involved persons from harm. Those responding that complete abolition is achievable argued that the consequences of coercion outweigh any gains and indicated that use of advance directives are sufficient as alternatives to coercion.
Of a European group of experts specifically dedicated to the reduction of psychiatric coercion who participated in this questionnaire study, a minority believed a total abolition be an achievable goal. The study adds to the empirical evidence of the feasibility of the aspiration to totally abolish involuntary measures in the mental health services from the perspective of experts.
2019 年，欧洲委员会同意敦促成员国采取措施，争取全面废除精神科强制性措施。
为了检验这一愿望是否被认为是现实的，如果全面废除，将会有什么替代方案，我们调查了专门致力于交流减少精神科强制最低限度知识的欧洲 FOSTREN 网络的精神卫生从业人员和研究人员的成员。
基于网络的调查。使用频率分析分类响应，使用主题分析分析自由文本响应。
在向 FOSTREN 网络成员发出的 167 份邀请中，共有 76 人（回应率为 45.5%）对调查作出回应。致力于减少精神科强制性措施的参与专家中，少数（31%）人认为全面废除是一个可行的目标。一种普遍的信念是，全面废除是不可行的，因为精神健康障碍难以治疗，可能导致暴力，需要强制，并且需要保护有关人员免受伤害。那些认为完全废除是可行的人认为，强制的后果超过了任何收益，并指出使用预先指示作为强制的替代方案就足够了。
在参与这项问卷调查研究的专门致力于减少精神科强制的一组欧洲专家中，少数人认为全面废除是一个可行的目标。该研究从专家的角度增加了实证证据，证明了从精神卫生服务中全面废除非自愿措施的愿望是可行的。
