Related Experiment Video
Updated: Oct 21, 2025
07:51
A Protocol for Measuring Cue Reactivity in a Rat Model of Cocaine Use Disorder
Published on: June 18, 2018
10.7K
[Association between substance use and coercive measures on psychiatric wards]
Felix Betzler1, Ariadne Brandt2, Andreas Heinz2
1Klinik für Psychiatrie und Psychotherapie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland. felix.betzler@charite.de.
Der Nervenarzt
|September 7, 2021
Summary
Coercive measures in psychiatric care are strongly linked to substance use. Patients with acute intoxication or a history of substance use disorders were significantly more likely to experience coercive interventions.
Area of Science:
- Psychiatry
- Addiction Medicine
- Forensic Psychiatry
Background:
- Minimizing coercive measures in psychiatric settings is a key goal.
- Understanding factors influencing coercive measure use is essential for effective intervention.
Purpose of the Study:
- To investigate the association between substance use and the implementation of coercive measures in acute psychiatric care.
- To provide empirical data on the prevalence of substance use disorders among patients subjected to coercive measures.
Main Methods:
- Retrospective analysis of all coercive measures in acute psychiatric wards at Charité Campus Mitte in 2019.
- Focus on the correlation between substance use disorders and specific types of coercive measures, including admissions, isolation, and mechanical restraint.
Main Results:
- Coercive measures were used in 106 cases (92 patients) out of 1232 total cases.
- Acute intoxication was present in approximately one-third of coercive measure cases, and a history of substance use disorder in two-thirds.
- Alcohol and cannabis were the most frequent substance use disorders associated with coercive measures.
Conclusions:
- The study confirms a significant clinical association between substance intoxication and the use of coercive measures in psychiatric care.
- Findings underscore the importance of addressing substance use in strategies aimed at reducing coercive interventions.
Related Concept Videos
01:24Substance Use Disorders Affecting Sleep
240
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
240
01:17Drug Dependence
1.3K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.3K
01:15Drug Abuse and Addiction: Pharmacological Phenomena
817
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
817
01:30Stress and Mental Health
268
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
268
01:28Drug Therapy
119
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
119
01:27CNS Depressants: Alcohol and Nicotine
575
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
575