Author/Editor     Korošec-Jagodič, Helena; Korošec, Barbara; Lajlar, Danijel; Winkler-Skaza, Valentina; Novak, Vesna; Jagodič, Klemen; Pintarič, Leonarda
Title     Hospitalizacija brez bolnikove privolitve
Translated title     Involuntary hospitalisation
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 77, št. Suppl 4
Publication year     2008
Volume     str. IV-45-9
Language     slo
Abstract     Background The aim of our study was to determine the number of patients admitted to the psychiatric hospital involuntarily. Further, patients who were treated involuntarily were compared to the patients that were not allowed to be treated involuntarily according to the court rule. Methods In observational study we included all patients admitted to the Psychiatric Hospital Vojnik (PB Vojnik) involuntarily over a 1-year period (January 2006 to December 2006). Results We had 9.5 % involuntary admissions (115/1204) in Psychiatric Hospital Vojnik in year 2006. (63 %) patients were not allowed to be treated involuntarily and 40 (37 %) patients were allowed to be treated involuntarily according to the court rule. Majority of patients (80 %) involuntarily admitted didn’t take any drugs on admission. The diagnosis of schizophrenia was made in 47 patients (44 %) and it was also most frequent diagnosis. 68 % of patients were aggressive before admission. Witnesses were called to testimony on proceedings in 22 (20 %) of cases. 33 (30 %) patients were positive on psychoactive drugs or alcohol on admission. Admission diagnosis, data about agression before hospitalisation and testimony of witnesses didn’t have a significant influence on court decision. But there were significantly more readmissions during one year period following discharge among patients that were not treated involuntarily compared to patients that were treated involuntarily based on legal criteria (21 versus 8; p = 0.008). Conclusions In our study we found out discrepancy between legal and clinical criteria about involuntary hospitalization. Patients discharged on legal criteria, rather than clinical, had markedly more readmissions during the next year, and that results in worse outcome.
Descriptors     MENTAL DISORDERS
COMMITMENT OF MENTALLY ILL
HOSPITALS, PSYCHIATRIC