| Abstract [eng] |
The study is aimed at determining the prevalence of formal and informal involuntary hospitalisation, the clinical profile of involuntarily hospitalised patients, the factors that have an impact on the degree of coercion and the objective outcomes of involuntary hospitalisation. Assessment of the prevalence of formal involuntary hospitalisation was carried out. Socio-demographic and clinical data of formally and informally involuntarily hospitalised were collected from medical records and patient interviews. Medical documentation was used to measure the duration of the studied hospitalisation and the following indicators of re-hospitalisations within 3 years after discharge from the studied hospitalisation: the presence of at least one rehospitalisation, the number of re-hospitalisations and time to rehospitalisation. The established indicator of involuntary hospitalisations per 105 residents per year in period concerned was from 23.0 to 39.5. 17 per cent of voluntary patients perceived coercion during the process of hospitalization. The majority of the socio-demographic, psychopathology, quality of life and treatment characteristics of formally involuntarily hospitalised patients and informally involuntarily hospitalised patients are similar. Formally involuntarily hospitalised patients feel stronger coercion, more often display aggression and are less satisfied with treatment than informally involuntarily hospitalised patients. The degree of coercion felt during hospitalisation is chiefly related with verbal aggression. Compared with voluntarily hospitalised patients, formally involuntarily and informally involuntarily hospitalised patients are treated longer during the studied hospitalisation, more of them are re-hospitalised, stay shorter not re-hospitalised and are more often re-hospitalised within three years from the studied hospitalisation. |
