Baggio, Stéphanie; Kaiser, Stefan; Wullschleger, Alexandre (2024). Effect of Seclusion on Mental Health Status in Hospitalized Psychiatric Populations: A Trial Emulation using Observational Data. Evaluation & the health professions, 47(1), pp. 3-10. Sage 10.1177/01632787231164489
|
Text
Baggio_EvalHealthProf_2024.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (577kB) | Preview |
The use of coercive practices, i.e., interventions against a person's will, is controversial. Recent observational studies highlighted their potential detrimental effects on patients' mental health, but this topic remains understudied. This study investigated the effect of a common coercive practice, seclusion (i.e., being locked in a closed room), on mental health using a trial emulation of observational data to allow causal inference. We used data from 1200 psychiatric inpatients, classified as being either secluded or non-secluded during their hospital stay. Inverse probability of treatment weighting was used to emulate the random assignment to the intervention. The primary outcome was the Health of the Nations Outcome Scales (HoNOS). The secondary outcome was the first item of the HoNOS, which focuses on overactive, aggressive, disruptive, or agitated behavior. Both outcomes were assessed at hospital discharge. There was a significant effect of seclusion with increases in both total HoNOS score (p = .002) and item 1 of the HoNOS (p = .01). Seclusion may have a negative causal effect of patients' mental health status and should therefore be avoided in mental health care settings. Training efforts should raise the awareness of the medical staff about potential adverse effects instead of therapeutic benefits.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM) |
UniBE Contributor: |
Baggio, Stéphanie |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
1552-3918 |
Publisher: |
Sage |
Language: |
English |
Submitter: |
Doris Kopp Heim |
Date Deposited: |
16 Mar 2023 11:28 |
Last Modified: |
24 Feb 2024 07:14 |
Publisher DOI: |
10.1177/01632787231164489 |
PubMed ID: |
36898680 |
Uncontrolled Keywords: |
coercion ethics inpatient psychiatry seclusion |
BORIS DOI: |
10.48350/180220 |
URI: |
https://boris.unibe.ch/id/eprint/180220 |
Actions (login required)
 |
Edit item |