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Taking an Evidence-Based Approach to Involuntary Psychiatric Hospitalization
Nathaniel P Morris1, Robert A Kleinman1
1Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Morris); Department of Psychiatry, University of Toronto, and Centre for Addiction and Mental Health, Toronto (Kleinman).
Abstract:
The field of psychiatry has placed a growing emphasis on research-based diagnostic and treatment practices related to mental illness. Involuntary hospitalization is a controversial and potentially lifesaving intervention in psychiatric care; yet, to what degree is this practice evidence based? This Open Forum examines the ethical and logistical limitations to traditional research, such as randomized controlled trials and observational studies, surrounding involuntary psychiatric hospitalization. Given recent efforts across the United States to expand the use of involuntary hospitalization, the authors call for systematic data collection to monitor, study, and guide the use of this intervention.
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