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Perceived coercion and need for hospital admission among psychiatric in-patients: figures from a Pakistani tertiary care hospital

Published online by Cambridge University Press:  02 January 2018

Saman I. Zuberi
Affiliation:
Department of Psychiatry, Aga Khan University, Karachi, Pakistan, email [email protected]
Ayesha Sajid
Affiliation:
PGYII, Department of Psychiatry, Indiana University School of Medicine, USA
Abdul Wahab Yousafzai
Affiliation:
Department of Psychiatry, Ayub Medical College and Visiting Faculty, Department of Psychiatry, Aga Khan University
Naila Bhutto
Affiliation:
Department of Psychiatry, Aga Khan University
Murad Moosa Khan
Affiliation:
Department of Psychiatry, Aga Khan University Hospital
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In Pakistan, an increasing proportion of psychiatric patients present to community health services as crisis admissions, with their relatives as the main decision makers. Patients are bound to perceive this process as coercive. Farnham & James (2000) report that elements of coercion are found even in voluntary hospital admission, in the form of verbal persuasion, physical force and threats of commitment. Few patients consider hospitalisation justified and most view the process of admission negatively (Swartz et al, 2003; Katsakou & Priebe, 2006; Priebe et al, 2009).

Type
Original Paper
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2011

References

Bonsack, C. & Borgeat, F. (2005) Perceived coercion and need for hospitalization related to psychiatric admission. International Journal of Law and Psychiatry, 28, 342347.Google ScholarPubMed
Farnham, F. R. & James, D. V. (2000) Patients' attitudes to psychiatric hospital admission. Lancet, 355, 594.CrossRefGoogle ScholarPubMed
Fu, J. C. K., Chow, P. P. L. & Lam, L. C. W. (2008) The experience of admission to psychiatric hospital among Chinese adult patients in Hong Kong. BMC Psychiatry, 8, 86.CrossRefGoogle ScholarPubMed
Gardner, W., Hoge, S., Bennett, N., et al (1993) Two scales for measuring patients' performance perceptions of coercion during hospital admission. Behavioral Sciences and the Law, 20, 307321 CrossRefGoogle Scholar
Gilani, A. I., Gilani, U. I., Kasi, P. M., et al (2005) Psychiatric health laws in Pakistan: from lunacy to mental health. PLoS Medicine, 2, e317.CrossRefGoogle ScholarPubMed
Hiday, V. A., Swartz, M. S., Swanson, J., et al (1997) Patient perceptions of coercion in mental hospital admission. International Journal of Law and Psychiatry, 20, 227241.CrossRefGoogle ScholarPubMed
Iversen, K. I., Høyer, G. & Sexton, H. C. (2007) Coercion and patient satisfaction on acute psychiatric wards. International Journal of Law and Psychiatry, 30, 504511.Google Scholar
Katsakou, C. & Priebe, S. (2006) Outcomes of involuntary hospital admissions – a review. Acta Psychiatrica Scandinavica, 114, 232241 CrossRefGoogle ScholarPubMed
Nicholson, R. A., Ekenstam, C. & Norwood, S. (1996) Coercion and outcome of psychiatric hospitalization. International Journal of Law and Psychiatry, 19, 201217 CrossRefGoogle ScholarPubMed
Priebe, S., Katsakou, C., Amos, T., et al (2009) Patients' views and readmissions 1 year after hospitalisation. British Journal of Psychiatry, 194, 4954.CrossRefGoogle Scholar
Swartz, M. S., Swanson, J. W. & Hannon, M. J. (2003) Does fear of coercion keep people away from mental health treatment? Evidence from a survey of persons with schizophrenia and mental health professionals. Behavioral Sciences and the Law, 21, 459472.CrossRefGoogle ScholarPubMed
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