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Factors of importance to involuntary admission

机译:非自愿入学的重要因素

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Background: Most countries allow for the use of involuntary admission of patients. While some countries have stable or declining rates of involuntary admission, this type of coercion is now on the increase in several European countries. Aims: To increase understanding of the antecedents of involuntary admission. Methods: The importance of various predictors of involuntary admission were analysed in univariate analyses and in a logistic regression model, involving approximately 2000 admissions to a Norwegian hospital. Results: Involuntary admission was positively associated with the diagnostic category of psychosis and negatively associated with the category of anxiety. Emergency referrals were also more likely to be coerced. Conclusions: Diagnostic category seems to be a central factor with respect to involuntary admission. Patients that were admitted in an emergency were also more likely to be coerced. Clinical implications: Certain groups of patients are more likely to be admitted involuntarily. Increasing attention to these groups could possibly also contribute to the reduction of coercion.
机译:背景:大多数国家允许使用非自愿入院患者。尽管一些国家的非自愿入学率稳定或下降,但在一些欧洲国家,这种强制性现在正在增加。目的:增进对非自愿录取的前提的理解。方法:在单变量分析和逻辑回归模型中分析了非自愿入院各种预测因素的重要性,该模型涉及约2000名挪威医院的入院病人。结果:非自愿入院与精神病诊断类别呈正相关,与焦虑类别呈负相关。紧急转诊的可能性也更大。结论:诊断类别似乎是非自愿​​入院的重要因素。在紧急情况下入院的患者也更有可能被强迫。临床意义:某些类型的患者更有可能被自愿接受。对这些群体的更多关注也可能有助于减少胁迫。

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