From: Do improved structural surroundings reduce restrictive practices in psychiatry?
University hospital | p-value | Regional hospitals | p-value | |||
---|---|---|---|---|---|---|
Pre-relocation1 | Post-relocation2 | Pre-relocation1 | Post-relocation2 | |||
n (%) | n (%) | n (%) | n (%) | |||
Restrictive practices | ||||||
Involuntary admission | 454 (11) | 403 (16) | < 0.0001 | 657 (18) | 771 (21) | < 0.0001 |
Involuntary detention | 284 (7) | 204 (8) | 0.161 | 317 (9) | 320 (9) | 0.774 |
Locking of doors for an individual patient | 176 (4) | 99 (4) | 0.326 | 262 (7) | 222 (6) | 0.082 |
Mechanical restraint | 788 (19) | 373 (14) | < 0.0001 | 360 (10) | 345 (10) | 0.673 |
Straps (wrists and ankles) | 555 (14) | 295 (11) | 0.008 | 246 (7) | 272 (8) | 0.183 |
Manual restraint | 373 (9) | 367 (14) | < 0.0001 | 427 (12) | 355 (10) | 0.011 |
Involuntary personal shielding for more than 24 h | 8 (0) | 7 (0) | 0.533 | 4 (0) | 6 (0) | 0.514 |
Involuntary acute medication | 1202 (30) | 628 (24) | < 0.0001 | 1119 (30) | 981 (27) | 0.001 |
Involuntary treatment | 82 (2) | 54 (2) | 0.831 | 118 (3) | 110 (3) | 0.657 |
Involuntary electroconvulsive therapy | 15 (0) | 8 (0) | 0.690 | 14 (0) | 30 (1) | 0.014 |
Involuntary nutrition | 20 (1) | 45 (2) | < 0.0001 | 6 (0) | 18 (1) | 0.013 |
Involuntary treatment of a somatic disorder | 94 (2) | 86 (3) | 0.012 | 138 (4) | 184 (5) | 0.006 |
Other | 22 (1) | 16 (1) | 0.677 | 8 (0) | 17 (1) | 0.067 |
Total number of restrictive practices (N) | 4073 | 2585 | 3676 | 3631 |