@article{MartínezPeralta:111870,
author = "Martínez Peralta, Beatriz and Campos Ródenas, Ricardo",
title = "{Ingresos involuntarios en psiquiatría: perfil
clínico-epidemiológico y propuestas de mejora.}",
year = "2018",
note = "Introduction: involuntary admission applies to patients
who don’t have the capacity to authorize their admission,
despite medical intervention is necessary, and it is
finnally carried out without the consent of the patient. It
is based on therapeutic criteria and it is required when
psychopathologic destabilization of the patient supposes a
risk of harming himself or another person. Objectives:
Study and describe clinical and epidemiological aspects of
patients who were involuntary admitted to our unit (Unit of
Adult´s Hospitalization of the Clinical Uuniversity
Hospital Lozano Blesa) during the year of 2017. Review of
related previous studies. Methods: A retrospective
descriptive study was carried out. We include all the
patients who required compulsory admission during 2017 in
the Unit of Adults' Hospitalization of the Clinical
Uuniversity Hospital Lozano Blesa (Zaragoza) and their
clinical history was reviewed to obtain the database.
Statistical analyse was carried out to describe our
results. We selected 25 related articles to compare our
result (PubMed search). Results: Prevalence of compulsory
admission in our centre is 40,8%. Higher number of
involuntary income is seen in men (57,4%) that in women
(42,6%). Mean age of the patients was 45 years. Most of
them were single (56,8%); 80,2% of the cases had Spanish
nationality; 54,93% of the patients lives with relatives or
other persons. The unemployment is the most frequent labor
situation (33%). “Behaviour disorders” was the most
frequent cause of admission (28,39%); "Psychotic Episode"
is the most frequent diagnosis (19,75%), followed very
closely by the group "Schizophrenia" (19,13%). Mean
hospitalization time was 20 days. Most of the patients were
already known by previous income in psychiatric units
(64,19%). Despite follow-up of most of patients by their
psychiatrist (55,07%), an inadequate adherence to the
pharmacological treatment was observed in 65,94% of the
cases. Conclusions: Involuntary admissions are increasing
in several European countries, what means that severe
mental illnesses evolve frequently to stages in which
compulsive acute treatment is needed. This undesirable
trend makes necessary the knowledge of the factors that
surround these patients, to permit an earlier intevention.
Differences among countries in rates of involuntary income
seem to show that differences are present not only in
clinical characteristics but also in social or legal
aspects. Keywords: involuntary psychiatric admission,
compulsory admissions, risk factors and demographic.",
}