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Use of coercive physical measures in a psychiatric ward of a General Hospital in Greece.

¹ Department of Psychiatry, General Hospital of Arta, Arta, Greece
² Department of Psychiatry, University Hospital of Ioannina, Ioannina, Greece
³ University Hospital of Ioannina, Ioannina, Greece

^* To whom correspondence should be addressed. E-mail: vaios.peritogiannis{at}medai.gr.

	Abstract

Background: Coercive physical measures are commonly used in psychiatric units throughout the world for the management of severe behaviourally disturbed patients.

Aim: The aim of this study was to assess the rates of coercive physical measures (seclusion and restraint) used in psychiatric inpatients in the psychiatric unit of a general hospital in Greece.

Methods: A retrospective chart review of all admissions to the psychiatric unit of the University General Hospital of Ioannina during a six-month period was conducted. Differences between patients who were subjected to coercion and patients who did not receive any coercive treatment were statistically analyzed and compared.

Results: Of the total of 282 admissions during the study period, 31 (11.0%) cases had been subjected to some form of coercive physical measures: 9.55% and 1.76% were affected by seclusion and mechanical restraint, respectively (one patient had been subjected to both). The mean duration of any one seclusion and mechanical restraint was 64.9 hours and the mean number of seclusion and restraint per affected case was 3.58. Statistical analysis between the group subjected to coercive measures and the group who was not did not reveal any association with demographic data or diagnosis. Coercive measures were found to be associated only with the type of admission at intake.

Conclusions: Involuntary admissions were associated with statistically significant higher levels of restraint and seclusion in this patient sample. Strategies that will enhance patients’ follow-up are expected to prevent involuntary admissions and reduce the use of coercive measures.

First published on July 23, 2009
International Journal of Social Psychiatry 2009, doi:10.1177/0020764009106620


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