Voluntary and involuntary psychiatric admissions in China

J.S. Zhou, Y.T. Xiang, X.M. Zhu, W. Liang, H. Li, J. Yi, F. Liu, N. Zhao, G. Chen, S. Shi, G. Li, D. Shen, N. Wei, F. Qi, W. Tan, Gabor Ungvari, C.H. Ng, W. Hao, L. Li, X. Wang

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    Abstract

    Objective: This study examined admission patterns, including voluntary, involuntary, and partly voluntary admissions to Chinese psychiatric hospitals, in relation to sociodemographic and clinical factors, before a new mental health law was implemented in 2013. Methods: Previously admitted patients were interviewed within one week after discharge from 16 psychiatric hospitals across China. Patients' basic sociodemographic and clinical data, including results from the Modified Overt Aggression Scale (MOAS) and the Insight and Treatment Attitudes Questionnaire (ITAQ), were collected. Results: Among 797 patients, 224 (28%) had voluntary admissions, 336 (42%) had involuntary admissions, and 237 (30%) had partly voluntary admissions. Male gender, history of hospitalization, diagnosis of schizophrenia and related disorders, and high MOAS score were the risk factors for involuntary admissions, whereas more years of education, higher ITAQ score, and outpatient treatment before the index admission were its protective factors. A diagnosis of schizophrenia-related disorder and high MOAS score were the risk factors for partly voluntary admission, whereas more education and high ITAQ score were its protective factors. Conclusions: Perception of dangerousness and poor insight about mental illness were significant factors in involuntary psychiatric admissions in China. Factors contributing to the changes in patterns of psychiatric admissions after China's implementation of the mental health law are important topics for further research.
    Original languageEnglish
    Pages (from-to)1341-1346
    JournalPsychiatric Services
    Volume66
    Issue number12
    DOIs
    Publication statusPublished - 2015

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    Patient Admission
    Psychiatry
    China
    Aggression
    Psychiatric Hospitals
    Schizophrenia
    Mental Health
    Dangerous Behavior
    Education
    Therapeutics
    Hospitalization
    Outpatients
    Research
    Surveys and Questionnaires
    Protective Factors

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    Zhou, J. S., Xiang, Y. T., Zhu, X. M., Liang, W., Li, H., Yi, J., ... Wang, X. (2015). Voluntary and involuntary psychiatric admissions in China. Psychiatric Services, 66(12), 1341-1346. https://doi.org/10.1176/appi.ps.201400566
    Zhou, J.S. ; Xiang, Y.T. ; Zhu, X.M. ; Liang, W. ; Li, H. ; Yi, J. ; Liu, F. ; Zhao, N. ; Chen, G. ; Shi, S. ; Li, G. ; Shen, D. ; Wei, N. ; Qi, F. ; Tan, W. ; Ungvari, Gabor ; Ng, C.H. ; Hao, W. ; Li, L. ; Wang, X. / Voluntary and involuntary psychiatric admissions in China. In: Psychiatric Services. 2015 ; Vol. 66, No. 12. pp. 1341-1346.
    @article{45bdc87cfbab45f985220c4ed120dc26,
    title = "Voluntary and involuntary psychiatric admissions in China",
    abstract = "Objective: This study examined admission patterns, including voluntary, involuntary, and partly voluntary admissions to Chinese psychiatric hospitals, in relation to sociodemographic and clinical factors, before a new mental health law was implemented in 2013. Methods: Previously admitted patients were interviewed within one week after discharge from 16 psychiatric hospitals across China. Patients' basic sociodemographic and clinical data, including results from the Modified Overt Aggression Scale (MOAS) and the Insight and Treatment Attitudes Questionnaire (ITAQ), were collected. Results: Among 797 patients, 224 (28{\%}) had voluntary admissions, 336 (42{\%}) had involuntary admissions, and 237 (30{\%}) had partly voluntary admissions. Male gender, history of hospitalization, diagnosis of schizophrenia and related disorders, and high MOAS score were the risk factors for involuntary admissions, whereas more years of education, higher ITAQ score, and outpatient treatment before the index admission were its protective factors. A diagnosis of schizophrenia-related disorder and high MOAS score were the risk factors for partly voluntary admission, whereas more education and high ITAQ score were its protective factors. Conclusions: Perception of dangerousness and poor insight about mental illness were significant factors in involuntary psychiatric admissions in China. Factors contributing to the changes in patterns of psychiatric admissions after China's implementation of the mental health law are important topics for further research.",
    author = "J.S. Zhou and Y.T. Xiang and X.M. Zhu and W. Liang and H. Li and J. Yi and F. Liu and N. Zhao and G. Chen and S. Shi and G. Li and D. Shen and N. Wei and F. Qi and W. Tan and Gabor Ungvari and C.H. Ng and W. Hao and L. Li and X. Wang",
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    Zhou, JS, Xiang, YT, Zhu, XM, Liang, W, Li, H, Yi, J, Liu, F, Zhao, N, Chen, G, Shi, S, Li, G, Shen, D, Wei, N, Qi, F, Tan, W, Ungvari, G, Ng, CH, Hao, W, Li, L & Wang, X 2015, 'Voluntary and involuntary psychiatric admissions in China' Psychiatric Services, vol. 66, no. 12, pp. 1341-1346. https://doi.org/10.1176/appi.ps.201400566

    Voluntary and involuntary psychiatric admissions in China. / Zhou, J.S.; Xiang, Y.T.; Zhu, X.M.; Liang, W.; Li, H.; Yi, J.; Liu, F.; Zhao, N.; Chen, G.; Shi, S.; Li, G.; Shen, D.; Wei, N.; Qi, F.; Tan, W.; Ungvari, Gabor; Ng, C.H.; Hao, W.; Li, L.; Wang, X.

    In: Psychiatric Services, Vol. 66, No. 12, 2015, p. 1341-1346.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Voluntary and involuntary psychiatric admissions in China

    AU - Zhou, J.S.

    AU - Xiang, Y.T.

    AU - Zhu, X.M.

    AU - Liang, W.

    AU - Li, H.

    AU - Yi, J.

    AU - Liu, F.

    AU - Zhao, N.

    AU - Chen, G.

    AU - Shi, S.

    AU - Li, G.

    AU - Shen, D.

    AU - Wei, N.

    AU - Qi, F.

    AU - Tan, W.

    AU - Ungvari, Gabor

    AU - Ng, C.H.

    AU - Hao, W.

    AU - Li, L.

    AU - Wang, X.

    PY - 2015

    Y1 - 2015

    N2 - Objective: This study examined admission patterns, including voluntary, involuntary, and partly voluntary admissions to Chinese psychiatric hospitals, in relation to sociodemographic and clinical factors, before a new mental health law was implemented in 2013. Methods: Previously admitted patients were interviewed within one week after discharge from 16 psychiatric hospitals across China. Patients' basic sociodemographic and clinical data, including results from the Modified Overt Aggression Scale (MOAS) and the Insight and Treatment Attitudes Questionnaire (ITAQ), were collected. Results: Among 797 patients, 224 (28%) had voluntary admissions, 336 (42%) had involuntary admissions, and 237 (30%) had partly voluntary admissions. Male gender, history of hospitalization, diagnosis of schizophrenia and related disorders, and high MOAS score were the risk factors for involuntary admissions, whereas more years of education, higher ITAQ score, and outpatient treatment before the index admission were its protective factors. A diagnosis of schizophrenia-related disorder and high MOAS score were the risk factors for partly voluntary admission, whereas more education and high ITAQ score were its protective factors. Conclusions: Perception of dangerousness and poor insight about mental illness were significant factors in involuntary psychiatric admissions in China. Factors contributing to the changes in patterns of psychiatric admissions after China's implementation of the mental health law are important topics for further research.

    AB - Objective: This study examined admission patterns, including voluntary, involuntary, and partly voluntary admissions to Chinese psychiatric hospitals, in relation to sociodemographic and clinical factors, before a new mental health law was implemented in 2013. Methods: Previously admitted patients were interviewed within one week after discharge from 16 psychiatric hospitals across China. Patients' basic sociodemographic and clinical data, including results from the Modified Overt Aggression Scale (MOAS) and the Insight and Treatment Attitudes Questionnaire (ITAQ), were collected. Results: Among 797 patients, 224 (28%) had voluntary admissions, 336 (42%) had involuntary admissions, and 237 (30%) had partly voluntary admissions. Male gender, history of hospitalization, diagnosis of schizophrenia and related disorders, and high MOAS score were the risk factors for involuntary admissions, whereas more years of education, higher ITAQ score, and outpatient treatment before the index admission were its protective factors. A diagnosis of schizophrenia-related disorder and high MOAS score were the risk factors for partly voluntary admission, whereas more education and high ITAQ score were its protective factors. Conclusions: Perception of dangerousness and poor insight about mental illness were significant factors in involuntary psychiatric admissions in China. Factors contributing to the changes in patterns of psychiatric admissions after China's implementation of the mental health law are important topics for further research.

    U2 - 10.1176/appi.ps.201400566

    DO - 10.1176/appi.ps.201400566

    M3 - Article

    VL - 66

    SP - 1341

    EP - 1346

    JO - Psychiatric Services

    JF - Psychiatric Services

    SN - 1075-2730

    IS - 12

    ER -

    Zhou JS, Xiang YT, Zhu XM, Liang W, Li H, Yi J et al. Voluntary and involuntary psychiatric admissions in China. Psychiatric Services. 2015;66(12):1341-1346. https://doi.org/10.1176/appi.ps.201400566