caa a22 4500 445344512 CHVBK 20180317142824.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00406-010-0179-x doi (NATIONALLICENCE)springer-10.1007/s00406-010-0179-x Predictors of clinical and social outcomes following involuntary hospital admission: a prospective observational study [Elektronische Daten] [Stefan Priebe, Christina Katsakou, Ksenija Yeeles, Tim Amos, Richard Morriss, Duolao Wang, Til Wykes] The Study aimed to assess clinical and social outcomes following involuntary admissions over 1year and identify socio-demographic and clinical patient characteristics associated with more or less favourable outcomes. Seven hundred and seventy-eight involuntary patients admitted to one of 22 hospitals in England were assessed within the first week after admission and at 1month, 3month and 12month follow-ups. Outcome criteria were symptom levels, global functioning, objective social outcomes, and subjective quality of life (SQOL). Baseline characteristics and patients' initial experience were tested as predictors. Symptom levels and global functioning improved moderately. Objective social outcomes showed a small, but statistically significant deterioration, and SQOL a small, but significant improvement at 1year. In multivariable analyses, admission due to risk to oneself and receiving benefits predicted poorer symptom outcomes. Female gender and higher perceived coercion were associated with better objective social outcomes, whilst higher initial satisfaction with treatment predicted more positive SQOL at follow-ups. Over a 1-year period following involuntary hospital admission, patients on average showed only limited health and social gains. Different types of outcomes are associated with different predictor variables. Patients' initial experience of treatment, in the form of perceived coercion or satisfaction with treatment, has predictive value for up to a year following the admission. Springer-Verlag, 2010 Commitment of mentally ill nationallicence Coercion nationallicence Patient admission nationallicence Outcome assessment (health care) nationallicence Inpatients nationallicence Priebe Stefan Unit for Social & Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, E13 8SP, London, UK aut Katsakou Christina Unit for Social & Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, E13 8SP, London, UK aut Yeeles Ksenija Unit for Social & Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, E13 8SP, London, UK aut Amos Tim Academic Unit of Psychiatry, University of Bristol, Cotham House, Cotham Hill, BS6 6JL, Bristol, UK aut Morriss Richard School of Community Health Sciences, The Institute of Mental Health, University of Nottingham, Room B09d, The Sir Colin Campbell Building, Triumph Road, NG7 2TU, Nottingham, UK aut Wang Duolao London School of Hygiene and Tropical Medicine, Room 143, Keppel Street, WC1E 7HT, London, UK aut Wykes Til Institute of Psychiatry, King's College London, Box P077, De Crespigny Park, SE5 8AF, London, UK aut European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261/5(2011-08-01), 377-386 0940-1334 261:5<377 2011 261 406 https://doi.org/10.1007/s00406-010-0179-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00406-010-0179-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Priebe Stefan Unit for Social & Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, E13 8SP, London, UK aut NATIONALLICENCE 700 1- Katsakou Christina Unit for Social & Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, E13 8SP, London, UK aut NATIONALLICENCE 700 1- Yeeles Ksenija Unit for Social & Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, E13 8SP, London, UK aut NATIONALLICENCE 700 1- Amos Tim Academic Unit of Psychiatry, University of Bristol, Cotham House, Cotham Hill, BS6 6JL, Bristol, UK aut NATIONALLICENCE 700 1- Morriss Richard School of Community Health Sciences, The Institute of Mental Health, University of Nottingham, Room B09d, The Sir Colin Campbell Building, Triumph Road, NG7 2TU, Nottingham, UK aut NATIONALLICENCE 700 1- Wang Duolao London School of Hygiene and Tropical Medicine, Room 143, Keppel Street, WC1E 7HT, London, UK aut NATIONALLICENCE 700 1- Wykes Til Institute of Psychiatry, King's College London, Box P077, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 773 0- European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261/5(2011-08-01), 377-386 0940-1334 261:5<377 2011 261 406 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer