Determinants of compulsory admission in detainees with acute psychiatric symptoms in the French speaking counties of Switzerland
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View abstract on PubMed
Summary
This summary is machine-generated.Compulsory admission (CA) in detainees is driven by prior CA and acute psychosis, not demographics. Depressive and anxiety disorders were less likely to result in CA, unlike in the general population.
Area Of Science
- Forensic Psychiatry
- Clinical Psychology
- Legal Medicine
Background
- Compulsory admission (CA) is a legal psychiatric practice raising ethical concerns.
- Risk factors for CA in the general population include ethnicity, male gender, and psychosis.
- CA is more frequent in prisons, but its specific determinants in detainees remain unclear.
Purpose Of The Study
- To investigate the clinical, demographic, and criminological factors influencing compulsory admission (CA) among detainees.
- To compare determinants of CA between voluntary admissions (VA), CA only, and mixed admissions (MA) in a prison psychiatric setting.
Main Methods
- A study of 317 detainees admitted to a secure psychiatric ward in Geneva.
- Group comparisons using Fisher's exact, Chi², and Kruskal Wallis tests.
- Logistic regression to analyze associations between legal status and clinical diagnoses.
Main Results
- Sociodemographic factors did not significantly differ between voluntary and compulsory admissions.
- Past CA and acute psychotic disorders were strongly associated with CA in detainees.
- Depressive and anxiety disorders were less frequent in CA cases compared to voluntary admissions.
Conclusions
- In detainees, compulsory admission is primarily linked to prior CA history and acute psychosis, unlike the general population where demographics play a role.
- The presence of depressive or anxiety disorders appears to reduce the likelihood of compulsory admission in this population.
- Findings highlight distinct predictors for CA in incarcerated individuals, emphasizing clinical factors over socio-demographic ones.
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