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Physical restraint for psychiatric patients and its associations with clinical characteristics and the National Mental Health Law in China
An, FR1,2; Sha, S1,2; Zhang, QE1,2; Ungvari, GS3,4; Ng, CH5; Chiu, HFK6; Wu, PP1,2; Jin, X1,2; Zhou, JS7,8,9; Tang, YL10; Xiang, YT11
2016
Source PublicationPsychiatry Research
ISSN0165-1781
Volume241Pages:154-158
Abstract

Physical restraint (PR) for patients is an ongoing controversial topic in psychiatry. This study examined the percentage of PR and its associations with clinical characteristics and the implementation of the National Mental Health Law (NMHL) in China. The study consecutively assessed a sample of 1364 psychiatric inpatients. Socio-demographic and clinical data including use of PR were collected from the medical records using a form designed for this study and confirmed via interview. Psychopathology and insight were measured using standardized instruments. The percentage of PR was 27.2% in the whole sample with 30.7% and 22.4% occurring respectively before and after the NMHL implementation (p=0.001). In multiple logistic regression analysis PR was positively associated with unemployment, lower income, aggression in the past month, being admitted before the NMHL implementation and poorer insight. The percentage of PR in Chinese psychiatric patients is associated with various clinical factors and appeared to decrease after the implementation of the NMHL. Focused and individualized care for patients who are unemployed, have low income, recent aggression and poor insight would be necessary at early stages of admission.

KeywordPhysical Restraint Aggression China Psychiatric Inpatients
DOI10.1016/j.psychres.2016.04.101
Indexed BySCIE
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000379370900026
Scopus ID2-s2.0-85008613712
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Citation statistics
Document TypeJournal article
CollectionUniversity of Macau
Affiliation1.Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Beijing, Peoples R China
2.Capital Med Univ, Beijing Anding Hosp, Beijing, Peoples R China
3.Univ Notre Dame Australia Marian Ctr, Perth, WA, Australia
4.Univ Western Australia, Sch Psychiat & Clin Neurosci, Perth, WA, Australia
5.Univ Melbourne, Dept Psychiat, Melbourne, Vic, Australia
6.Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
7.Cent S Univ, Mental Hlth Inst, Xiangya Hosp 2, Changsha, Hunan, Peoples R China
8.Cent S Univ, Natl Technol Inst Psychiat, Changsha, Hunan, Peoples R China
9.Cent S Univ, Key Lab Psychiat & Mental Hlth Hunan Prov, Changsha, Hunan, Peoples R China
10.Emory Univ, Sch Med, Dept Psychiat & Behav Sci, Atlanta, GA 30322 USA
11.Univ Macau, Fac Hlth Sci, Unit Psychiat, Macau, Macao Sar, Peoples R China
Recommended Citation
GB/T 7714
An, FR,Sha, S,Zhang, QE,et al. Physical restraint for psychiatric patients and its associations with clinical characteristics and the National Mental Health Law in China[J]. Psychiatry Research, 2016, 241, 154-158.
APA An, FR., Sha, S., Zhang, QE., Ungvari, GS., Ng, CH., Chiu, HFK., Wu, PP., Jin, X., Zhou, JS., Tang, YL., & Xiang, YT (2016). Physical restraint for psychiatric patients and its associations with clinical characteristics and the National Mental Health Law in China. Psychiatry Research, 241, 154-158.
MLA An, FR,et al."Physical restraint for psychiatric patients and its associations with clinical characteristics and the National Mental Health Law in China".Psychiatry Research 241(2016):154-158.
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