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Involuntary medication in psychiatric inpatient treatment

Published online by Cambridge University Press:  16 April 2020

R. Kaltiala-Heino
Affiliation:
Psychiatric Treatment and Research Unit for Adolescent Intensive Care, Tampere University hospital, 33380Pitkaniemi, Finland
M. Välimäki
Affiliation:
Department of Nursing Science, University of Tampere, Medisiinarinkatu 3, 33014, Finland
J. Korkeila*
Affiliation:
Department of Psychiatry, University of Turku, Turku University Central Hospital, Kunnallissairaalantie 20, 20700Turku, Finland
C. Tuohimäki
Affiliation:
Department of Psychiatry, University of Oulu, PL2G, 90029 OYS, Oulu, Finland
V. Lehtinen
Affiliation:
National Centre for Research and Development in Health and Welfare, Turku, Finland
*
*Corresponding author. E-mail address: jyrki.korkeila@postikaista.net (J. Korkeila).
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Abstract

The aim of this study was to examine involuntary medication in psychiatric inpatient treatment. A retrospective chart review of 1543 consecutive admissions of working aged civil patients from well-defined catchment areas to three psychiatric centres were evaluated regarding events of involuntary medication. 8.2% of the admissions included involuntary medication episode(s). Involuntary medication was associated with a diagnosis of schizophrenia, involuntary legal status and having previously been committed. One of the studied centres used less involuntary medication than the other two, even if patients with schizophrenia were over-represented in that centre. Although involuntary medication mainly takes places in the treatment of patients who are conceptualised most ill and perhaps resist treatment most, treatment culture obviously also plays a role. In future, it is important to study the aspects of treatment culture to fully understand the use of involuntary medication in psychiatry.

Type
Original article
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2003

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