Schepelern E S, Aggernaes K H, Stender A K, Raben H
Psykiatrisk afdeling, Frederiksberg Hospital.
Ugeskr Laeger. 1993 Feb 22;155(8):553-7.
Registration of compulsory procedures in a psychiatric department before and after the reform of the Danish law concerning commitment and compulsory procedures in psychiatry. The purpose of this investigation was to register if the law reform 01.10.1989 caused changes in the extent of compulsory procedures in a psychiatric department. The study was prospective. During the period: 01.02.1988-30.09.1991, all compulsory procedures in the department of psychiatry, Frederiksberg Hospital, were registered. A total of 289 patients had been subjected to compulsory procedures during 336 admissions. The compulsory procedures registered were: incarceration in the department, forced medication and restraint by a belt. The total number of admissions with compulsory procedures increased after the law reform. The number of incarcerations increased. No changes were registered in the number of restraints and forced medications in connection with the law reform but, two years after, increases of 37% and 74% respectively were registered. One of the main purposes of the law reform was to limit and, if possible, to prevent compulsory procedures. This purpose has not been fulfilled. The increase in the extent of compulsory procedures in the latter part of the observation period is probably caused by factors such as increase bed occupancy and decrease in resources.
丹麦精神病学领域关于收容和强制程序的法律改革前后,某精神科强制程序的登记情况。本调查的目的是记录1989年10月1日的法律改革是否导致了某精神科强制程序范围的变化。该研究为前瞻性研究。在1988年2月1日至1991年9月30日期间,登记了腓特烈斯贝格医院精神科的所有强制程序。在336次入院治疗中,共有289名患者接受了强制程序。登记的强制程序包括:科室监禁、强制用药和用约束带约束。法律改革后,有强制程序的入院治疗总数增加了。监禁人数增加了。与法律改革相关的约束和强制用药次数没有变化,但在两年后,分别增加了37%和74%。法律改革的主要目的之一是限制并尽可能防止强制程序。这一目的并未实现。观察期后期强制程序范围的增加可能是由诸如床位占用率增加和资源减少等因素导致的。