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

Jørn Lykke; Carsten Hjorthøj; Christoffer T Thomsen; Stephen F Austin

doi:10.1111/ppc.12367

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

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

8 Citationer (Scopus)

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.

Originalsprog	Engelsk
Tidsskrift	Perspectives in Psychiatric Care
Vol/bind	56
Udgave nummer	1
Sider (fra-til)	20-27
Antal sider	8
ISSN	0031-5990
DOI	https://doi.org/10.1111/ppc.12367
Status	Udgivet - jan. 2020

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

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.",

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T1 - Prevalence, predictors, and patterns of mechanical restraint use for inpatients with dual diagnosis

AU - Lykke, Jørn

AU - Hjorthøj, Carsten

AU - Thomsen, Christoffer T

AU - Austin, Stephen F

PY - 2020/1

Y1 - 2020/1

N2 - 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.

AB - 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.

KW - dual diagnosis

KW - inpatient wards

KW - mechanical restraint

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U2 - 10.1111/ppc.12367

DO - 10.1111/ppc.12367

M3 - Journal article

C2 - 30828824

SN - 0031-5990

VL - 56

SP - 20

EP - 27

JO - Perspectives in Psychiatric Care

JF - Perspectives in Psychiatric Care

IS - 1

ER -

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

Abstract

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