Perceived coercion in voluntary hospital admission

  title={Perceived coercion in voluntary hospital admission},
  author={Brian O’Donoghue and Eric Roche and Stephen Shannon and John Lyne and Kevin J. Madigan and Larkin Feeney},
  journal={Psychiatry Research},

Service users’ perspective of their admission: a report of study findings

In comparison with the service user, caregivers tended to underestimate the level of perceived coercion and this can help inform future interventional studies aimed at reducing coercion in mental health services.

Perceived Coercion Among Patients Admitted in Psychiatric Wards: Italian Results of the EUNOMIA Study

Satisfaction with received treatment predicts the levels of perceived coercion and this should represent an important challenge for mental health professionals.

Service Users' Experiences of Voluntary Admission to Mental Hospital: A Review of Research Literature

A review of literature pertaining to the experiences of people admitted voluntarily to acute adult mental health facilities in Australia and New Zealand found that voluntary service users were limited in their ability to make informed choices and had poor knowledge of their rights and legal status.

Patients’ perception of coercion with respect to antipsychotic treatment of psychotic disorders and its predictors

Perceived coercion related to medication is dependent on insight into illness and experience of previous coercive interventions rather than on the severity of psychopathological symptoms, similar to a previous study in a forensic psychiatric sample.

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

The findings show that the level of perceived coercion in voluntary patients ranges from ‘persuasion’ and ‘interpersonal leverage’ to ‘threat’, ‘someone else’s decisions’and ‘violence’ (categorised as informal coercion).

Admission experiences of psychiatric patients in tertiary care: An implication toward Mental Health Care Bill, 2013

There is an urgent need to modify the Mental Health Care Bill so that treatment of persons with mental illness is facilitated and family member plays an important role in providing MHC; hence, they need to be empowered.

Perceived coercion in persons with mental disorder in India: A cross-sectional study

The study shows perceived coercion is a reality in India and levels of perceived coercion and the populations affected are similar to high-income countries.

Experiences of voluntary psychiatric admissions to acute wards in East London : an Interpretative Phenomenological Analysis

The findings promote the need for increased dialogue during admission, further transparency of information about patient rights and employment of practices which reduce the impact of stigma on wards.



Perceived coercion among patients admitted to acute wards in Norway

Applying a visual analogue scale (CL) seems to provide a useful measure of patients' perception of coercion and one that largely parallels the MPCS, as well as taking negative pressures and process exclusion into account.

Perceived coercion at admission to psychiatric hospital and engagement with follow-up

Compulsory admission was strongly associated with perceived coercion, but one-third of voluntary patients felt highly coerced, and two-thirds were not certain they were free to leave hospital.

Perceived coercion in mental hospital admission. Pressures and process.

Patients' feelings of being coerced concerning admission appears to be closely related to their sense of procedural justice, and clinicians can minimize the experience of coercion even among those legally committed by attending more closely to procedural justice issues.

Service users' perceptions about their hospital admission elicited by service user-researchers or by clinicians.

The findings indicate that clinicians and researchers can be more confident that service users' positive accounts of admissions are not attributable to a response bias and that researchers can feel more confident in directly comparing the results of studies undertaken by clinicians and by service user-researchers.

Coerced Hospital Admission and Symptom Change—A Prospective Observational Multi-Centre Study

On average patients show significant but limited symptom improvements after coerced hospital admission, possibly reflecting the severity of the underlying illnesses and social factors appear important predictors of outcomes.

Psychiatric patients’ views on why their involuntary hospitalisation was right or wrong: a qualitative study

Why some patients view their involuntary hospitalisation positively, whereas others believe it was wrong is illustrated, which could inform the development of interventions to improve patients’ views and treatment experiences.

Perceived coercion and the therapeutic relationship: a neglected association?

Hospitalization, even when voluntary, was viewed as more coercive when patients rated their relationship with the admitting clinician negatively and a high perceived coercion score was significantly associated with involuntary admission and a poor rating of the therapeutic relationship.

Use of coercive measures during involuntary hospitalization: findings from ten European countries.

Coercive measures used in a substantial group of involuntarily admitted patients across Europe appeared to depend on diagnosis and the severity of illness, but use was also heavily influenced by the individual country.