Outcomes of involuntary hospital admission – a review

  title={Outcomes of involuntary hospital admission – a review},
  author={Christina Katsakou and Savannah Priebe},
  journal={Acta Psychiatrica Scandinavica},
Introduction:  This paper reviews studies on outcomes of involuntary hospital admissions in general adult psychiatry, and predictors of outcomes. 

Patterns of Care Consumption after Compulsory Admission: A Five-Year Follow-Up to the Amsterdam Study of Acute Psychiatry VIII

Significant numbers of involuntary admissions and the fact that compulsory hospitalization is a drastic intervention in a patient’s life justify the introduction of preventive measures in Amsterdam, and involuntary readmission could be predicted on the basis of high care consumption five years before inclusion.

Involuntary vs. voluntary hospital admission

Methodological quality of the studies showed significant variation and was higher concerning service-related than clinical or subjective outcomes; main deficits appeared in sample size estimation, lack of clear follow-up time-points, and the absence of standardized instruments used to assess clinical outcomes.

Patients' views and readmissions 1 year after involuntary hospitalisation

Patients' views of treatment within the first week are a relevant indicator for the long-term prognosis of involuntarily admitted patients.


The number of patients admitted to the psychiatric hospital involuntarily and patients who were treated involuntarily were compared to the patients that were not allowed to be treatment involuntarily according to the court rule.

Involuntarily admitted patients with substance use disorders

This book aims to provide a history of Norwegian Sammendrag and its role in the development and study of post-traumatic stress disorder.

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

  • R. Wynn
  • Medicine, Psychology
    International Journal of Mental Health Systems
  • 2018
The review suggests that Norway has a relatively high rate of involuntary admissions and four intervention studies explored interventions for reducing rates of involuntary admission, such as modifying referring routines, improving patient information procedures, and increasing patients’ say in the admission process.

[Quality of involuntary hospital administration in Switzerland].

The quality of certificates directing involuntary hospital admission has to be improved considering the impact on the individual concerned and the consequences of the new legislation on the quality of the admission practices should be inquired in order to improve professional training on the issue.

Involuntary admission from the patients’ perspective

The majority of patients reflect positively on their involuntary admission and this opportunity should be used to engage patients in follow-up treatment.

Changing patient perspectives after compulsory admission and the risk of re-admission during 5 years of follow-up: The Amsterdam Study of Acute Psychiatry IX

Increasing patient satisfaction in the first 2 years was associated with a lower risk of compulsory re-admission in the subsequent follow-up period, but this association proved to be dependent on a history of involuntary admissions in these first two follow- up years.

Involuntary psychiatric hospitalization of children and adolescents in Northern Greece: Retrospective epidemiological study and related ethical issues.

Investigation of epidemiological data on involuntary hospitalization of underage patients in psychiatric settings in Germany found that the short-term removal of the minor from the family environment was a potentially relieving strategy for both the child and the family apart from the need for therapeutic intervention.



Detention of the mentally ill in Europe – a review

The frequency of compulsory admission varies widely across Europe and mental health legislation in different countries in relation to detention rates and to patients' perception of hospital detention is compared.

Sources of coercive behaviours in psychiatric admissions

Coercion during psychiatric admissions has been a topic of debate for many years, but there has been no work on who places pressures on patients to be admitted.

Outcomes for Psychiatric Patients following First Admission: Relationships with Voluntary and Involuntary Treatment and Ethnicity

There were sex differences in admission status with significantly more male patients being involuntarily admitted than female patients and ethnic differences in placement at discharge were not supported, but involuntary admitted patients were over-represented in the less desirable outcome categories.

Attitudes towards psychiatric hospitalisation: a comparison of involuntary and voluntary patients.

This "consumer survey" lends some confidence to the view that compulsory detention and admission is not irrevocably perceived as punitive by patients, and provides further data which counter the sometimes extreme advocates of the viewthat compulsory admission and treatment of patients with psychiatric illness is never acceptable.

A survey of involuntary patients' attitudes towards their commitment.

Cinquante sept patients hospitalises (internes non volontaires) «lucides et coherents» ont ete interviewes sur leur attitude vis-a-vis de la mesure d'internement qui les a frappes. La majorite des

Attitudinal changes of involuntarily committed patients following treatment.

Follow-up data indicate that the majority continued to receive outpatient treatment after the index episode, and among those readmissions that occurred, 92% were voluntary.

Change with Time in Patients’ Reactions to Committal *

The influence of time on patients’ reactions to involuntary committal is a variable seldom considered in reports and the importance of these findings for the management of committed patients is stressed.

The Validity of Mental Patients' Accounts of Coercion-Related Behaviors in the Hospital Admission Process

A system for integrating chart review data and data from interviews with multiple participants in the decision for an individual to be admitted to a psychiatric hospital generates a “most plausible factual account” (MPFA) that is compared with that of patients, admitting clinicians and other collateral informants in 171 cases.

Involuntary hospitalization of the mentally ill as a moral issue.

  • P. Chodoff
  • Political Science
    The American journal of psychiatry
  • 1984
Opinions about such issues as hospitalization criteria of dangerousness versus medical necessity and the relative role of rights versus obligations and of autonomy versus paternalism can be seen largely to depend on such underlying value judgments.

A study of enforced treatment in relation to Stone's "thank you" theory

It is concluded that only when high quality treatment is available for an Axis I disorder should involuntary hospitalizaton be considered as a possible treatment option.