Volume 7 Supplement 1

World Psychiatric Association (WPA) Thematic Conference. Coercive Treatment in Psychiatry: A Comprehensive Review

Open Access

1-year follow-up of a randomized controlled trial comparing seclusion and mechanical restraint in people with serious mental illness

  • Jan Bergk1,
  • Michael Birk1 and
  • Tilman Steinert1
BMC Psychiatry20077(Suppl 1):P18

https://doi.org/10.1186/1471-244X-7-S1-P18

Published: 19 December 2007

Background

Seclusion and mechanical restraint are widely used for people with serious mental disorders. In most countries one intervention is preferred while the other is considered as inhuman or not sufficiently safe, but identical arguments refer to different preferences. There is a lack of evidence from well-designed studies on compulsory measures in psychiatry.

Methods

We conducted a cohort study with optional randomisation comparing seclusion and mechanical restraint among in-patients with acute psychotic disorders. We determined an ethical aspect as main outcome variable: the restriction of human rights from the patients' point of view, measured by a scale developed for this purpose, Human DIgnity during COercive Procedures, DICOP. In addition we screened for posttraumatic stress disorder (PTSD). After one year a follow-up was conducted by telephone interviews. We reassessed the incidence of PTSD after coercive measures by the Impact of Event Scale (IES).

Results

102 out of 233 patients exposed to coercive measures within 24 months could be included, 26 could be randomized (12 seclusion, 14 restraint). 60 patients could be contacted for follow-up interviews. Further results will be presented.

Authors’ Affiliations

(1)
ZfP Weissenau, Dep. of Psychiatry I, University of Ulm

Copyright

© Bergk et al; licensee BioMed Central Ltd. 2007

This article is published under license to BioMed Central Ltd.

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