BACKGROUND: In England, rates of involuntary admissions increased in subgroups of patients. It is unknown whether this is true in other European countries. AIMS: To establish whether the increase in emergency commitments was uniform across subgroups of patients and dangerousness criteria used to justify commitment in The Netherlands. METHOD: National data on all commitments in the period 2000-2004. RESULTS: Commitments increased from 40.2 to 46.5 (16%) per 100,000 inhabitants. Controlling for population changes in age and sex, relatively large increases were found in patients over 50 years (25-40% increase), in patients with dementia (59%), 'other organic mental disorders' (40%) and substance abuse (36%). 'Arousing aggression', increased most strongly as a dangerousness criterion for commitment (30%). CONCLUSION: Changing patterns of commitments in The Netherlands and England might indicate a wider European shift in diagnoses and reasons for admission of committed patients.
BACKGROUND: In England, rates of involuntary admissions increased in subgroups of patients. It is unknown whether this is true in other European countries. AIMS: To establish whether the increase in emergency commitments was uniform across subgroups of patients and dangerousness criteria used to justify commitment in The Netherlands. METHOD: National data on all commitments in the period 2000-2004. RESULTS: Commitments increased from 40.2 to 46.5 (16%) per 100,000 inhabitants. Controlling for population changes in age and sex, relatively large increases were found in patients over 50 years (25-40% increase), in patients with dementia (59%), 'other organic mental disorders' (40%) and substance abuse (36%). 'Arousing aggression', increased most strongly as a dangerousness criterion for commitment (30%). CONCLUSION: Changing patterns of commitments in The Netherlands and England might indicate a wider European shift in diagnoses and reasons for admission of committed patients.
Authors: Arne E Vaaler; Gunnar Morken; Olav M Linaker; Trond Sand; Kjell A Kvistad; Geir Bråthen Journal: BMC Psychiatry Date: 2009-09-30 Impact factor: 3.630
Authors: Joanne E Plahouras; Shobha Mehta; Daniel Z Buchman; George Foussias; Zafiris J Daskalakis; Daniel M Blumberger Journal: Eur Psychiatry Date: 2020-05-14 Impact factor: 5.361
Authors: Fleur J Vruwink; Cornelis L Mulder; Eric O Noorthoorn; Daan Uitenbroek; Henk L I Nijman Journal: BMC Psychiatry Date: 2012-12-18 Impact factor: 3.630
Authors: Asia Ruchlewska; Andre I Wierdsma; Astrid M Kamperman; Mark van der Gaag; Renee Smulders; Bert-Jan Roosenschoon; Cornelis L Mulder Journal: PLoS One Date: 2014-03-19 Impact factor: 3.240