Shared decision-making in post-coercion debriefing interventions in psychiatry - a scoping review

Area of Science:

• Psychiatry
• Mental Health Interventions
• Shared Decision-Making

Background:

• Debriefing after coercive psychiatric measures is recommended but lacks established standards and proven effectiveness.
• Shared decision-making (SDM) integration into post-coercion debriefing may offer benefits.

Purpose of the Study:

• To conduct a scoping review of post-coercion debriefing interventions in psychiatry.
• To assess the extent to which elements of shared decision-making (SDM) are incorporated into these interventions.

Main Methods:

• A comprehensive literature search was conducted across Embase, PubMed, Web of Science, and PsycINFO.
• 13 relevant articles were identified and analyzed from an initial pool of 2562 references and 14 manually found articles.

Main Results:

• No reviewed intervention tool fully incorporated all elements of shared decision-making (SDM).
• However, all interventions partially included: defining the healthcare problem, clarifying patient values/preferences, and making or deferring a decision.

Conclusions:

• Post-coercion debriefing interventions in psychiatry require further research for systematic examination of implementation and clinical effectiveness.
• Integrating shared decision-making (SDM) elements is crucial for enhancing these interventions.