Highlights
- •Investigating involuntary psychiatric hospitalization related factors may promote qualitative psychiatric care.
- •Gender differences reported herein highlight the need for gender-specific interventions to enhance adherence to therapy.
- •Gender-specific studies are proposed to develop effective strategies to reduce involuntary hospitalization.
Abstract
Introduction
Studies on the clinical and socio-demographic characteristics of those involuntarily
admitted to psychiatric settings could help professionals and researchers to develop
effective, targeted interventions, alternative to compulsory psychiatric care.
Aim:
The association between socio-demographic and clinical characteristics in adults under
involuntary hospitalization for psychiatric treatment in the Republic of Cyprus was
assessed.
Method
This was a descriptive, cross-sectional and correlational study. Data collection was
achieved (December 2016 to February 2018) via a census sampling method. Socio-demographic
and clinical data of individuals involuntarily admitted to the reference psychiatric
hospital of Cyprus with psychotic symptomatology were recorded.
Results
The sample encompassed 144 females and 262 males. The most frequent diagnosis was
schizophrenia or a relevant psychotic disorder (72.9%). The most frequent cause of
admission was “Disorganized behaviour" along with non-adherence to pharmacotherapy
(53.7%). Approximately 42.8% of the participants confirmed positive substance use
history, which was more frequently reported in males than in females (88.5% vs. 11.5%,
respectively, p < 0.001). Additionally, males were more frequently admitted due to Disorganized behaviour
with substance use compared to females (31.3% vs. 4.9%, respectively, p < 0.001), while females were more frequently admitted due to d"Disorganized behaviour
with non-adherence to pharmacotherapy (70.1% vs. 44.7%, respectively, p < 0.001). Also, males were more frequently involuntarily hospitalized due to suicidal/self-harming
behaviour compared to females (12.2% vs. 5.6%, respectively, p = 0.031).
Conclusion
Gender differences were noted in relation to clinical characteristics of the participants,
highlighting the need for gender-specific interventions to decrease compulsory psychiatric
care, including enhancement of adherence to therapy.
Keywords
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Article info
Publication history
Published online: April 01, 2022
Accepted:
March 19,
2022
Received in revised form:
January 29,
2022
Received:
September 16,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
