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Related Experiment Videos

Committal procedures in Ireland.

P Gibbons1, D G Walshe, J Dillon

  • 1Dept of Old Age Psychiatry, James Connolly Memorial Hospital, Blanchardstown, Dublin.

Irish Medical Journal
|September 1, 1992
PubMed
Summary
This summary is machine-generated.

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Irish psychiatric committal practices reveal that

Area of Science:

  • Psychiatry
  • Mental Health Law
  • Public Health Policy

Background:

  • Current committal practices in Irish public psychiatric services require description.
  • The role of 'dangerousness' as a criterion for psychiatric detention needs examination.

Purpose of the Study:

  • To describe current committal practices in an Irish public psychiatric service.
  • To establish the role of 'dangerousness' in determining these practices.

Main Methods:

  • Retrospective review of 136 patient case files from St Brendan's Hospital, Dublin (1990).
  • Analysis of application initiators, recommending physicians, patient demographics, psychiatric history, diagnoses, and admission details.

Main Results:

  • Most applications (65%) initiated by family; 80% recommended by General Practitioners (GPs).

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  • Schizophrenia was the largest diagnosis (56%); 66% of non-substance-related admissions showed acute psychotic symptoms.
  • 43% of patients showed evidence of being a danger to self or others; these individuals differed significantly from the non-dangerous group.

    • Conclusions:

    • A committal law solely based on 'dangerousness' would significantly alter current Irish psychiatric committal practices.
    • Findings inform proposed changes in Irish mental health legislation regarding involuntary commitment.