Dataset Information

Factors associated with involuntary mental healthcare in New South Wales, Australia.

ABSTRACT:

Background

There is uncertainty about factors associated with involuntary in-patient psychiatric care. Understanding these factors would help in reducing coercion in psychiatry.

Aims

To explore variables associated with involuntary care in the largest database of involuntary admissions published.

Method

We identified 166 102 public mental health hospital admissions over 5 years in New South Wales, Australia. Demographic, clinical and episode-of-care variables were examined in an exploratory, multivariable logistic regression.

Results

A total of 54% of eligible admissions included involuntary care. The strongest associations with involuntary care were referral from the legal system (odds ratio 4.98, 95% CI 4.61-5.38), and psychosis (odds ratio 4.48, 95% CI 4.31-4.64) or organic mental disorder (odds ratio 4.40, 95% CI 3.85-5.03). There were moderately strong associations between involuntary treatment and substance use disorder (odds ratio 2.68, 95% CI 2.56-2.81) or affective disorder (odds ratio 2.06, 95% CI 1.99-2.14); comorbid cannabis and amphetamine use disorders (odds ratio 1.65, 95% CI 1.57-1.74); unmarried status (odds ratio 1.62, 95% CI 1.49-1.76) and being born in Asia (odds ratio 1.42, 95% CI 1.35-1.50), Africa or the Middle East (odds ratio 1.32, 95% CI 1.24-1.40). Involuntary care was less likely for people aged >75 years (odds ratio 0.68, 95% CI 0.62-0.74), with comorbid personality disorder (odds ratio 0.90, 95% CI 0.87-0.94) or with private health insurance (odds ratio 0.89, 95% CI 0.86-0.93).

Conclusions

This research strengthens the evidence linking diagnostic, socioeconomic and cultural factors to involuntary treatment. Targeted interventions are needed to reduce involuntary admissions in disadvantaged groups.

SUBMITTER: Corderoy A

PROVIDER: S-EPMC10951846 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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Publications

Factors associated with involuntary mental healthcare in New South Wales, Australia.

Corderoy Amy A Large Matthew Michael MM Ryan Christopher C Sara Grant G

BJPsych open 20240304 2

<h4>Background</h4>There is uncertainty about factors associated with involuntary in-patient psychiatric care. Understanding these factors would help in reducing coercion in psychiatry.<h4>Aims</h4>To explore variables associated with involuntary care in the largest database of involuntary admissions published.<h4>Method</h4>We identified 166 102 public mental health hospital admissions over 5 years in New South Wales, Australia. Demographic, clinical and episode-of-care variables were examined ...[more]

PMID: 38433586

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Dataset Information

Factors associated with involuntary mental healthcare in New South Wales, Australia.

Background

Aims

Method

Results

Conclusions

Publications

Factors associated with involuntary mental healthcare in New South Wales, Australia.

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