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Electroconvulsive therapy practice in Thailand.

Worrawat Chanpattana1, Barry Alan Kramer

  • 1Department of Psychiatry, Bangkok Hospital, Thailand. worch@loxinfo.co.th

The Journal of ECT
|May 29, 2004
PubMed
Summary
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Electroconvulsive therapy (ECT) is widely used in Thailand, primarily in psychiatric hospitals with unmodified treatments. However, the study highlights a significant lack of proper training for healthcare professionals administering ECT.

Area of Science:

  • Psychiatry
  • Neurology
  • Health Services Research

Background:

  • Electroconvulsive therapy (ECT) is a vital treatment for severe mental health conditions.
  • Understanding current ECT practices is crucial for improving patient care and safety.

Purpose of the Study:

  • To provide a comprehensive overview of electroconvulsive therapy (ECT) practices in Thailand.
  • To assess the utilization rates, methods, and patient demographics associated with ECT in Thailand.

Main Methods:

  • A nationwide survey was conducted using questionnaires distributed to psychiatric care institutions in Thailand.
  • Data collection spanned from September 1, 2001, to August 31, 2002, with a response rate of 79.1%.

Main Results:

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  • ECT is available in 26 hospitals, with 93.6% of treatments administered in psychiatric facilities.
  • Unmodified ECT accounted for 94.2% of all treatments, predominantly for schizophrenia, mania, and major depression.
  • The ECT utilization rate was 11.15 per 100,000 population, with an estimated mortality rate of 0.08% and no reported ECT-related deaths.

    • Conclusions:

    • ECT utilization in Thailand is substantial, with a strong preference for unmodified bilateral ECT in psychiatric hospitals.
    • There is a clear deficiency in formal training programs and structured curricula for ECT administration among healthcare professionals.
    • Further development of standardized training is recommended to enhance the quality and safety of ECT practice in Thailand.