Dataset Information

Relationship between perceived coercion and perceived justification of coercive measures - secondary analysis of a randomized-controlled trial.

ABSTRACT:

Background

Subjective perception of coercion has gained attention as an important outcome. However, little is known about its relation to patients' appraisal of the justification of coercive measures. The present study aims to analyze the relationship between patients' appraisal of the justification of coercive measures and their level of perceived coercion.

Methods

This study presents a secondary analysis of the results of a multi-center RCT conducted to evaluate the effects of post-coercion review. Patients who experienced at least one coercive measure during their hospital stay were included in the trial. Participants' appraisal of the justification of coercive measures was categorized into patient-related and staff-related justifications. Subjective coercion was assessed using the Coercion Experience Scale (CES) and used as dependent variable in a multivariate regression model.

Results

97 participants who completed the CES were included in the analysis. CES scores were significantly associated with the perception of the coercive measure as justified by staff-related factors (B = 0,540, p < 0,001), as well as with higher level of negative symptoms (B = 0,265, p = 0,011), and with mechanical restraint compared to seclusion (B=-0,343, p = 0,017).

Conclusions

Patients' perceptions of coercive measures as justified by staff-related factors such as arbitrariness or incompetence of staff are related to higher levels of perceived coercion. Multiprofessional efforts must be made to restrict the use of coercive measures and to ensure a transparent and sustainable decision-making process, particularly with patients showing high levels of negative symptoms. Such key elements should be part of all coercion reduction programs.

SUBMITTER: Wullschleger A

PROVIDER: S-EPMC10546675 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Publications

Relationship between perceived coercion and perceived justification of coercive measures - secondary analysis of a randomized-controlled trial.

Wullschleger Alexandre A Vandamme Angelika A Mielau Juliane J Heinz Andreas A Bermpohl Felix F Mahler Lieselotte L Montag Christiane C

BMC psychiatry 20231002 1

<h4>Background</h4>Subjective perception of coercion has gained attention as an important outcome. However, little is known about its relation to patients' appraisal of the justification of coercive measures. The present study aims to analyze the relationship between patients' appraisal of the justification of coercive measures and their level of perceived coercion.<h4>Methods</h4>This study presents a secondary analysis of the results of a multi-center RCT conducted to evaluate the effects of p ...[more]

PMID: 37784077

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Dataset Information

Relationship between perceived coercion and perceived justification of coercive measures - secondary analysis of a randomized-controlled trial.

Background

Methods

Results

Conclusions

Publications

Relationship between perceived coercion and perceived justification of coercive measures - secondary analysis of a randomized-controlled trial.

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