International journal of law and psychiatry · 2026
Admission without consent to a psychiatric ward and length of hospital stay: The role of selected sociodemographic and clinical factors.
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Kiejna Andrzej, Cichoń Ewelina, Stachów Michał, Gondek Tomasz M, Bukowska Alicja, Todzia-Kornaś Agata
Аннотация
INTRODUCTION: Studies suggest that forced hospitalizations adversely affect patient satisfaction and overall quality of life. This study aimed to evaluate the trends in involuntary admission rates in a psychiatric hospital and to examine the relationships between admission status and selected socio-demographic and clinical variables, as well as length of hospital stay.
METHODOLOGY: The study comprised all individuals involuntarily hospitalized at the Lower Silesian Centre of Mental Health in Wroclaw, Poland, between 2016 and 2022. The following data sources were used: a) Mental Health Protection Act (UoOZP) monitoring questionnaires from 2016 to 2022; b) statistical data on admissions and patient turnover; c) essential patient information available in the hospital's system.
RESULTS: From 2016 to 2022, there was a significant increase in the proportion of individuals admitted involuntarily to the psychiatric hospital, rising from 15.64% to 22.21%. Factors linked to a higher probability of involuntary admission included: male gender, primary or secondary education, single status, an initial diagnosis of schizophrenia or other psychotic disorders, alcohol use disorders, or admission for observation. In contrast, factors associated with longer hospital stay included female gender, secondary or higher education, single status, admission under articles 23.1, (emergency admission), 28 (emergency admission following withdrawal of consent for treatment) and 29.1 (admission by request) of the UoOZP, non-scheduled admissions, a history of previous psychiatric hospitalizations, and a diagnosis of schizophrenia.
CONCLUSIONS: Determining the predictors of involuntary admissions is essential for understanding the effects of compulsory treatment. Compulsory treatment has the potential to bring both advantages and disadvantages, which should be considered in decision-making regarding its application.
METHODOLOGY: The study comprised all individuals involuntarily hospitalized at the Lower Silesian Centre of Mental Health in Wroclaw, Poland, between 2016 and 2022. The following data sources were used: a) Mental Health Protection Act (UoOZP) monitoring questionnaires from 2016 to 2022; b) statistical data on admissions and patient turnover; c) essential patient information available in the hospital's system.
RESULTS: From 2016 to 2022, there was a significant increase in the proportion of individuals admitted involuntarily to the psychiatric hospital, rising from 15.64% to 22.21%. Factors linked to a higher probability of involuntary admission included: male gender, primary or secondary education, single status, an initial diagnosis of schizophrenia or other psychotic disorders, alcohol use disorders, or admission for observation. In contrast, factors associated with longer hospital stay included female gender, secondary or higher education, single status, admission under articles 23.1, (emergency admission), 28 (emergency admission following withdrawal of consent for treatment) and 29.1 (admission by request) of the UoOZP, non-scheduled admissions, a history of previous psychiatric hospitalizations, and a diagnosis of schizophrenia.
CONCLUSIONS: Determining the predictors of involuntary admissions is essential for understanding the effects of compulsory treatment. Compulsory treatment has the potential to bring both advantages and disadvantages, which should be considered in decision-making regarding its application.