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Prevalence, predictors, and patterns of mechanical restraint use for inpatients with dual diagnosis
Author(s) -
Lykke Jørn,
Hjorthøj Carsten,
Thomsen Christoffer T.,
Austin Stephen F.
Publication year - 2020
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/ppc.12367
Subject(s) - medicine , confidence interval , dual diagnosis , odds ratio , incidence (geometry) , schizophrenia (object oriented programming) , substance abuse , mental illness , psychiatry , psychological intervention , population , emergency medicine , mental health , environmental health , physics , optics
Purpose This study examined the prevalence, predictors, and patterns of mechanical restraint in an inpatient dual diagnosis population. Design and Methods Data were longitudinally collected from patients affected by severe mental illness and comorbid substance abuse that were hospitalized in three large wards from 2006 to 2012. Findings In a sample of 1698 hospitalizations, the use of mechanical restraint ranged between 1% and 4% per year. The diagnosis of schizophrenia (odds ratio [OR], 2.64; 95% confidence interval [CI], 1.29‐5.40), the use of stimulant substances (OR, 5.68; 95% CI, 2.78‐11.59) and male sex (OR, 3.22; 95% CI, 1.12‐9.27) were associated with an increased risk of being exposed to mechanical restraint. Practice Implications Specialized interventions targeting people at risk of mechanical restraint may further reduce the incidence of restraint and improve treatment outcomes.