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Patients’ Characteristics Related with Risk of Being Restrainedinacute Psychiatric Hospitalin Romania

Published online by Cambridge University Press:  23 March 2020

a. Mihai ,
M. Crainic ,
M. Mocan ,
I. alexiev ,
a.P. Sărmăan  and
a. Mihai
a. Mihai*
Affiliation:
University of Medicine and Pharmacy “Iuliu Hatieganu”, Medicine, Cluj-Napoca, Romania institute of Psychotherapy and Personal Development (IPPD), Psychology and Psychotherapy, Targu Mures, Romania
M. Crainic
Affiliation:
University of Medicine and Pharmacy “Iuliu Hatieganu”, Medicine, Cluj-Napoca, Romania
M. Mocan
Affiliation:
University of Medicine and Pharmacy “Iuliu Hatieganu”, Medicine, Cluj-Napoca, Romania
I. alexiev
Affiliation:
University of Medicine and Pharmacy “Iuliu Hatieganu”, Medicine, Cluj-Napoca, Romania
a.P. Sărmăan
Affiliation:
University of Medicine and Pharmacy Tg Mures, Medical asistent, Gh Marinescu 38, Tg Mures, Romania
a. Mihai
Affiliation:
institute of Psychotherapy and Personal Development (IPPD), Psychology and Psychotherapy, Targu Mures, Romania University of Medicine and Pharmacy Tg Mures, Psychiatric Department, Gh Marinescu 38, Tg Mures, Romania
*
*Corresponding author.

Abstract

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Seclusion and restraining in acute psychiatry wards is used when patients tend to harm themselves, other patients or staff members. Seclusion and restraining decision-making is a complex process based on risk of aggressivity, patient's diagnosis, history of violent incidents, staff experience, hospital internal regulations and national mental health law.

The aim of this study is to evidentiate the patients’ characteristics, which could be predisposed to restraining procedure in acute psychiatric setting in Romania.

Material and method

This is a two years retrospective study conducted on a total of 1000 patients (56.9 females, 43.1 males) randomly selected, admitted in acute psychiatric hospital. From these on 100 patients restraining techniques were applied.

Results and discussions

Out of the restrained patients male, younger usually suffering of personality disorder were more frequent restrained. Statistical analysis of restrained group characteristics comparing with larger group of the total patients admitted showed no significant differences between these two groups. Regressive analysis on different clusters found a higher risk to be restrained for patients with agitation and recurrent depressive disorder, male, from urban area. This study draws attention to the importance of a good study design and proper methodology.

Conclusion

The factors which influence the risk of being restrained in acute psychiatric setting are more related with behavior characteristics than diagnosis or demographical items.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV626
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S443
Copyright
Copyright © European Psychiatric Association 2016
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