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Related Experiment Videos

Seclusion: an international comparison

T Mason1

  • 1Research Department, Ashworth Hospital, Maghull, Merseyside.

Medicine, Science, and the Law
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

Psychiatric seclusion is widely used internationally, even in non-psychiatric settings, for extreme patient violence. Despite concerns, no practical alternatives exist for emergency situations.

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Area of Science:

  • Psychiatry
  • Mental Health Care
  • Patient Safety

Background:

  • Seclusion is a common practice in psychiatric care globally.
  • International literature reveals varied approaches to seclusion, sometimes conflated with restraint.
  • Concerns about seclusion are widespread across different healthcare systems.

Purpose of the Study:

  • To review the national and international literature on the use of seclusion for psychiatric patients.
  • To understand the prevalence and variations in seclusion practices.
  • To identify concerns and alternatives to seclusion.

Main Methods:

  • Systematic review of national and international literature.
  • Analysis of primary and secondary published data on seclusion.

Related Experiment Videos

  • Comparative review of seclusion practices across different countries.

    • Main Results:

    • Seclusion is widely employed across numerous countries.
    • Practices and definitions of seclusion vary significantly.
    • Extreme patient violence was identified as a situation where seclusion is considered unavoidable.
    • All reviewed countries expressed concerns regarding seclusion use.
    • No country provided a realistic, practical alternative for emergency seclusion.

    Conclusions:

    • Seclusion remains a prevalent, albeit concerning, practice in psychiatric care worldwide.
    • The inevitability of seclusion in extreme violence is a common finding.
    • Lack of practical alternatives hinders the elimination of seclusion as an emergency measure.