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首页> 外文期刊>Nordic journal of psychiatry. >Mechanical restraint in adolescent psychiatry: A Finnish Register study
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Mechanical restraint in adolescent psychiatry: A Finnish Register study

机译：青少年精神病学中的机械约束：芬兰登记研究

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Hottinen A, Valimaki M, Sailas E, Putkonen H, Joffe G, Puukka O, Noda T, Lindberg N. Mechanical restraint in adolescent psychiatry: A Finnish Register study. Nord J Psychiatry 2013; 67: 132-139. Background: Little is known of the use of mechanical restraint in adolescent psychiatry. Aims: To investigate the frequency and features of mechanical restraint in the field of Finnish adolescent psychiatry. Methods: The data were collected in the metropolitan area of Helsinki, Finland, with seven closed and eight open wards for Finnish-speaking 13-17-year-old adolescents. The official restraint reports and the hospital files of the restraint patients from January 2009 to December 2009 were collected and analyzed. Results: Among adolescents hospitalized in closed wards, the 1-year prevalence of mechanical restraint was 9.5%. Among all hospitalized adolescents, the prevalence was 6.9%. The number of mechanically restrained individuals per 100 000 13 to17-year -old Finnish-speaking inhabitants was 57.1. The median duration of the restraint episode was 4 h and 50 min, but almost half of the mechanical restraint episodes lasted 8 h or more. A quarter of restraint episodes were not based on reasons mentioned in the Finnish Mental Health Act. The most frequent diagnostic categories of mechanically restrained adolescents were mood disorders followed by schizophrenia-related as well as behavioral and emotional disorders. Suicidality preceded 40% and violence 61% of restraint episodes. Boys were restrained during the first days of hospital treatment significantly more often than were girls, whereas one in four girls experienced her first episode of restraint after 1 month of hospitalization. Conclusions: Reducing the number and shortening the length of mechanical restraint episodes requires education of staff as well as projects focusing on reducing coercion. The clinical guidelines must be followed at grassroots level.
机译：Hottinen A，Valimaki M，Sailas E，Putkonen H，Joffe G，Puukka O，Noda T，LindbergN。青少年精神病学中的机械约束：芬兰登记研究。 Nord J精神病学2013; 67：132-139。背景：在青少年精神病学中对机械约束的使用知之甚少。目的：研究芬兰青少年精神病学领域机械约束的频率和特点。方法：数据收集于芬兰赫尔辛基市区，有七个封闭式和八个开放式病房，面向说芬兰语的13-17岁青少年。收集并分析了2009年1月至2009年12月期间的正式约束报告和约束患者的医院档案。结果：在封闭病房住院的青少年中，机械约束的1年患病率为9.5％。在所有住院青少年中，患病率为6.9％。每10万13至17岁的芬兰语居民受到机械约束的人数为57.1。约束发作的中位持续时间为4小时50分钟，但几乎一半的机械约束发作持续8小时或更长时间。四分之一的约束事件并非基于《芬兰心理健康法》中提到的原因。机械约束青少年的最常见诊断类别是情绪障碍，其次是精神分裂症相关的行为和情感障碍。在克制事件中，自杀率先占40％，暴力事件占61％。在住院治疗的第一天，男孩比女孩受到约束的频率要高得多，而四分之一的女孩在住院1个月后第一次受到约束。结论：减少机械约束发作的次数并缩短其持续时间，需要对工作人员进行培训，并开展注重减少胁迫的项目。在基层必须遵循临床指南。

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