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Administration and Policy in Mental Health and Mental Health Services Research

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01-03-2018 | Original Article

Length of Involuntary Hospitalization Related to the Referring Physician’s Psychiatric Emergency Experience

Authors: Florian Hotzy, Isabelle Kieber-Ospelt, Andres R. Schneeberger, Matthias Jaeger, Sebastian Olbrich

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 2/2018

Abstract

Although involuntary commitment (IC) is a serious intervention in psychiatry and must always be regarded as an emergency measure, the knowledge about influencing factors is limited. Aims were to test the hypothesis that duration of involuntary hospitalization and associated parameters differ for IC’s mandated by physicians with or with less routine experience in psychiatric emergency situations. Duration of involuntary hospitalization and duration until day-passes of 508 patients with IC at the University Hospital of Psychiatry Zurich were analyzed using a generalized linear model. Durations of involuntary hospitalization and time until day-passes were significantly shorter in patients referred by physicians with less routine experience in psychiatric emergency situations than compared to experienced physicians. Shorter hospitalizations following IC by less-experienced physicians suggest that some IC’s might be unnecessary. A specific training or restriction to physicians being capable of conducting IC could decrease the rate of IC.

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Title: Length of Involuntary Hospitalization Related to the Referring Physician’s Psychiatric Emergency Experience
Authors: Florian Hotzy
Isabelle Kieber-Ospelt
Andres R. Schneeberger
Matthias Jaeger
Sebastian Olbrich
Publication date: 01-03-2018
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 2/2018
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-017-0819-9

At a glance: The STEP trials

Springer Medicine

Length of Involuntary Hospitalization Related to the Referring Physician’s Psychiatric Emergency Experience

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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