Prevalence, predictors, and patterns of mechanical restraint use for inpatients with dual diagnosis

Jørn Lykke, Carsten Hjorthøj, Christoffer T Thomsen, Stephen F Austin*

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstract

PURPOSE: This study examined the prevalence, predictors, and patterns of mechanical restraint in an inpatient dual diagnosis population.

DESIGN AND METHODS: Data were longitudinally collected from patients affected by severe mental illness and comorbid substance abuse that were hospitalized in three large wards from 2006 to 2012.

FINDINGS: In a sample of 1698 hospitalizations, the use of mechanical restraint ranged between 1% and 4% per year. The diagnosis of schizophrenia (odds ratio [OR], 2.64; 95% confidence interval [CI], 1.29-5.40), the use of stimulant substances (OR, 5.68; 95% CI, 2.78-11.59) and male sex (OR, 3.22; 95% CI, 1.12-9.27) were associated with an increased risk of being exposed to mechanical restraint.

PRACTICE IMPLICATIONS: Specialized interventions targeting people at risk of mechanical restraint may further reduce the incidence of restraint and improve treatment outcomes.

OriginalsprogEngelsk
Sider (fra-til)20-27
Antal sider8
TidsskriftPerspectives in Psychiatric Care
Vol/bind56
Udgave nummer1
Tidlig onlinedato3 mar. 2019
DOI
StatusUdgivet - jan. 2020

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� 2019 Wiley Periodicals, Inc.

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