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

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

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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.

Original languageEnglish
JournalPerspectives in Psychiatric Care
Volume56
Issue number1
Pages (from-to)20-27
Number of pages8
ISSN0031-5990
DOIs
Publication statusPublished - Jan 2020

    Research areas

  • dual diagnosis, inpatient wards, mechanical restraint

ID: 59248706