Use of coercion in patients with first-episode psychosis: a retrospective cohort study of involuntary admissions, involuntary treatment orders and community treatment orders.
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| Title: | Use of coercion in patients with first-episode psychosis: a retrospective cohort study of involuntary admissions, involuntary treatment orders and community treatment orders. |
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| Authors: | Schou, Morten Brix (AUTHOR), Walla, Berit (AUTHOR), Seljeflot, Bjørn Siver (AUTHOR) |
| Source: | Nordic Journal of Psychiatry. Jul2025, Vol. 79 Issue 5, p354-363. 10p. |
| Subjects: | Involuntary treatment, Mental health services, University hospitals, Psychoses, Cohort analysis |
| Abstract: | Aim: Coercion in mental health care is under constant debate. Norway has been shown to have relatively high rates of involuntary admissions. The use of coercion in patients with first-episode psychosis (FEP) in Norway is sparsely described, thus limiting an informative debate. Method: We registered involuntary admissions, involuntary treatment orders, community treatment orders and other coercive measures during the first two years of treatment for all patients diagnosed with a first-episode non-affective psychosis at St Olav's University Hospital from 2012 to 2016. The hospital serves the Sør-Trøndelag County with 313,370 inhabitants in 2016. Results: A total of 238 patients with FEP were included. 40% of the patients were involuntary admitted at first contact leading to the psychosis diagnose, and during the first two years of treatment 53% of the patients were involuntary admitted. Of the involuntarily admitted patients, 43% were discharged on a community treatment order, and 34% had involuntary treatment orders. Other coercive measures, such as short-term holding, mechanical restraint or short-acting medication, were used in 21% of patients receiving inpatient treatment. Conclusion: Involuntary admission was relatively common in this cohort of FEP patients, although less used than in previous studies from Norway. Compared to studies from other countries, our findings, along with those from Finland, show among the highest rates of involuntary admissions and involuntary treatment orders published, and are higher than findings in other Nordic countries such as Denmark and Sweden. [ABSTRACT FROM AUTHOR] |
| Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 186283764 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Use of coercion in patients with first-episode psychosis: a retrospective cohort study of involuntary admissions, involuntary treatment orders and community treatment orders. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Schou%2C+Morten+Brix%22">Schou, Morten Brix</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Walla%2C+Berit%22">Walla, Berit</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Seljeflot%2C+Bjørn+Siver%22">Seljeflot, Bjørn Siver</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Nordic+Journal+of+Psychiatry%22">Nordic Journal of Psychiatry</searchLink>. Jul2025, Vol. 79 Issue 5, p354-363. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Involuntary+treatment%22">Involuntary treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22University+hospitals%22">University hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Cohort+analysis%22">Cohort analysis</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Aim: Coercion in mental health care is under constant debate. Norway has been shown to have relatively high rates of involuntary admissions. The use of coercion in patients with first-episode psychosis (FEP) in Norway is sparsely described, thus limiting an informative debate. Method: We registered involuntary admissions, involuntary treatment orders, community treatment orders and other coercive measures during the first two years of treatment for all patients diagnosed with a first-episode non-affective psychosis at St Olav's University Hospital from 2012 to 2016. The hospital serves the Sør-Trøndelag County with 313,370 inhabitants in 2016. Results: A total of 238 patients with FEP were included. 40% of the patients were involuntary admitted at first contact leading to the psychosis diagnose, and during the first two years of treatment 53% of the patients were involuntary admitted. Of the involuntarily admitted patients, 43% were discharged on a community treatment order, and 34% had involuntary treatment orders. Other coercive measures, such as short-term holding, mechanical restraint or short-acting medication, were used in 21% of patients receiving inpatient treatment. Conclusion: Involuntary admission was relatively common in this cohort of FEP patients, although less used than in previous studies from Norway. Compared to studies from other countries, our findings, along with those from Finland, show among the highest rates of involuntary admissions and involuntary treatment orders published, and are higher than findings in other Nordic countries such as Denmark and Sweden. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=186283764 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/08039488.2025.2508416 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 354 Subjects: – SubjectFull: Involuntary treatment Type: general – SubjectFull: Mental health services Type: general – SubjectFull: University hospitals Type: general – SubjectFull: Psychoses Type: general – SubjectFull: Cohort analysis Type: general Titles: – TitleFull: Use of coercion in patients with first-episode psychosis: a retrospective cohort study of involuntary admissions, involuntary treatment orders and community treatment orders. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Schou, Morten Brix – PersonEntity: Name: NameFull: Walla, Berit – PersonEntity: Name: NameFull: Seljeflot, Bjørn Siver IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 08039488 Numbering: – Type: volume Value: 79 – Type: issue Value: 5 Titles: – TitleFull: Nordic Journal of Psychiatry Type: main |
| ResultId | 1 |
