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Coercion within Danish psychiatry compared with 10 other European countries

机译:与其他10个欧洲国家相比,丹麦精神病学领域的胁迫

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Background: In 2008, the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT) criticized the use of mechanical restraint in Denmark and referred to it as ill-treatment. What do other European countries do better? To answer this question, we compared the use of coercive measures regarding psychiatric inpatients in Denmark and comparable European countries. Aims: Comparing coercive measures from Denmark, Sweden, Norway, Finland, Iceland, Belgium, The Netherlands, United Kingdom, Ireland, France and Italy. Methods: Review of international literature and a cross-sectional study performed as a questionnaire survey. Results: Denmark used more mechanical restraint and holding than Finland and Norway; however Sweden used twice as much as Denmark. Finland used more seclusion than did the other countries. Norway was the country that used the smallest amount of physical coercion. Only Norway, Finland, Sweden and Denmark had comparable representative data on coercion. Conclusions: Norway used less physical restraint than Denmark. We could not find any obvious reasons for the differences in the use of physical restraint. Clinical implications: Comparing the factors surrounding coercion between countries may serve as a basis for minimizing coercion and carrying it out in the most acceptable manner for the patients, thereby providing better psychiatric treatment in Europe.
机译:背景:2008年,欧洲防止酷刑和不人道或有辱人格的待遇或处罚委员会(CPT)批评丹麦使用机械约束,称其为虐待。其他欧洲国家在哪些方面做得更好?为了回答这个问题,我们比较了在丹麦和可比较的欧洲国家对精神病患者使用强制措施的情况。目的:比较来自丹麦,瑞典,挪威,芬兰,冰岛,比利时,荷兰,英国,爱尔兰,法国和意大利的强制措施。方法:回顾国际文献,并进行横断面研究作为问卷调查。结果:丹麦比芬兰和挪威使用了更多的机械约束和压制;但是瑞典的使用量是丹麦的两倍。芬兰比其他国家使用更多的隔离。挪威是使用最少的强制手段的国家。只有挪威,芬兰,瑞典和丹麦在胁迫方面具有可比的代表性数据。结论:挪威使用的身体约束少于丹麦。对于物理约束的使用差异,我们找不到任何明显的原因。临床意义:比较国家之间的强迫因素,可以作为最小化强迫并以患者最可接受的方式实施强迫的基础,从而在欧洲提供更好的精神病治疗。

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