Coercion within Danish psychiatry compared with 10 other European countries
Coercion within Danish psychiatry compared with 10 other European countries
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DOI：
10.3109/08039488.2011.632645
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发表时间：
2012-10-01
影响因子：
1.8
通讯作者：
Aggernaes, Helle
中科院分区：
文献类型：
--
作者：
Bak, Jesper;Aggernaes, Helle
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并将其称为虐待。其他欧洲国家在哪些方面做得更好？为了回答这个问题，我们比较了丹麦和类似欧洲国家对精神病住院患者使用强制措施的情况。目的：比较丹麦、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：回顾国际文献和以问卷调查形式进行的横断面研究。结果：丹麦比芬兰和挪威使用更多的机械约束和抓握；然而，瑞典的用量是丹麦的两倍。芬兰比其他国家采取了更多的隔离措施。挪威是使用武力胁迫最少的国家。只有挪威、芬兰、瑞典和丹麦拥有可比的胁迫代表性数据。结论：挪威使用的身体约束少于丹麦。我们找不到任何明显的原因来解释身体约束的使用差异。临床意义：比较各国之间围绕强迫的因素可以作为最大限度地减少强迫并以患者最可接受的方式进行的基础，从而在欧洲提供更好的精神病治疗。
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.