Involuntary hospitalization and treatment in first-episode psychosis: Characteristics of patients involuntarily hospitalized and/or treated
Notice bibliographique
Résumé
Background: The use of involuntary hospitalization and treatment in psychiatry remains a controversial issue. While some have argued for their importance in prevention of harm, others have cited the inconclusive evidence for their effectiveness as highly problematic. Youth with first-episode psychosis (FEP) represent a group whose engagement in services is particularly important as it is often their first time encountering mental health care. The use of coercive measures such as involuntary hospitalization and treatment has been largely under-studied in this population. Since these measures continue to be used in this population, it is important to ensure their proper use. Objectives: The objectives of the following studies were (1) to discover what is known about characteristics of FEP patients receiving involuntary hospitalization and treatment, and (2) to examine the characteristics of FEP patients receiving community treatment orders (CTOs) in a sample from a catchment area in Montreal Quebec. Methods: A systematic review was conducted, in which all studies on the characteristics of FEP patients receiving involuntary hospitalization and treatment was critically analyzed. A quantitative descriptive study was then undertaken. Characteristics that increased the likelihood of FEP patients receiving CTOs were analyzed using a patient sample (N = 688) from a catchment area in Montreal, Quebec. Results: The systematic review identified a wide variance in frequencies of the use of involuntary hospitalization and treatment. Even more, characteristics associated with increased likelihood of receiving involuntary hospitalization and treatment varied across jurisdictions and between studies. Only one study had analyzed the characteristics of FEP patients receiving community treatment orders (CTOs). The quantitative study revealed that, in this treatment setting, FEP patients may be more likely to be given a CTO if they are more uncooperative, less anxious, have lower levels of functioning, and lower levels of judgement and insight. Discussion: Taken together, it is evident from these studies that characteristics of patients who are involuntarily hospitalized or treated is an important area for continuous exploration. It is important to continue to track and investigate whether these measures are being used as intended in order to hold clinicians accountable and reduce any potential biases towards patients. This area is, as a whole, largely under-studied and requires more research attention to ensure proper use
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,023 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,002 |
| Bibliométrie | 0,004 | 0,008 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».