{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:12:30Z","timestamp":1762431150834},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,3,16]],"date-time":"2016-03-16T00:00:00Z","timestamp":1458086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp; Mental Health"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The UK guidelines on the treatment of personality disorder recommend avoiding compulsory treatment except in extreme situations. Little is known about how often patients with personality disorder are detained or how this compares with the treatment of other mental disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Our aim is to test the hypothesis that people with personality disorder are infrequently detained under the Mental Health Act (MHA) and that risk factors associated with detention are the same as those for people with other mental disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We used a retrospective, quantitative study of MHA assessments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 2\u2009087 assessments undertaken, 204 (9.8%) patients had a diagnosis of personality disorder; 40.7% of assessments in the personality disorder group resulted in detention, as did 69.7% of patients with other mental disorders. A higher proportion of people with personality disorder received no intervention following assessment compared with those with other mental disorders (20.6% vs. 4.7%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Study centre and a history of admission were risk factors for detention in both groups. Risk was a predictor of detention in those with other mental disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Detention rates in patients with personality disorder are lower than those for other disorders but are still substantial. Risk factors for detention in patients with personality disorder differ from those with other mental disorders. Copyright \u00a9 2016 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmh.1332","type":"journal-article","created":{"date-parts":[[2016,3,19]],"date-time":"2016-03-19T02:10:37Z","timestamp":1458353437000},"page":"191-204","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Likelihood and predictors of detention in patients with personality disorder compared with other mental disorders: A retrospective, quantitative study of Mental Health Act assessments"],"prefix":"10.1002","volume":"10","author":[{"given":"Kike","family":"Olajide","sequence":"first","affiliation":[{"name":"Centre for Mental Health Imperial College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Tyrer","sequence":"additional","affiliation":[{"name":"Centre for Mental Health Imperial College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swaran P.","family":"Singh","sequence":"additional","affiliation":[{"name":"University of Warwick  Coventry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Burns","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Oxford  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorun","family":"Rugk\u00e5sa","sequence":"additional","affiliation":[{"name":"Oslo and Akershus University College  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lavanya","family":"Thana","sequence":"additional","affiliation":[{"name":"Centre for Mental Health Imperial College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moli","family":"Paul","sequence":"additional","affiliation":[{"name":"University of Warwick  Coventry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoebia","family":"Islam","sequence":"additional","affiliation":[{"name":"University of Warwick  Coventry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike J.","family":"Crawford","sequence":"additional","affiliation":[{"name":"Centre for Mental Health Imperial College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2014.02.013"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S01406736(14)613945"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1258\/msl.2009.009004"},{"key":"e_1_2_8_5_1","unstructured":"Care and Quality Commission.Her Majesty's Inspectorate of Constabulary. 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(2015).Mental Health Act: detentions rise by almost ten per cent on previous year.http:\/\/www.hscic.gov.uk\/article\/6781\/Mental\u2010Health\u2010Act\u2010detentions\u2010rise\u2010by\u2010almost\u2010ten\u2010per\u2010cent\u2010on\u2010previous\u2010year[18 Oct 2015]"},{"key":"e_1_2_8_12_1","unstructured":"Her Majesty's Government. (2014).Crisis Care Concordat.https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/281242\/36353_Mental_Health_Crisis_accessible.pdf. [1 April 2014]"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.058552"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.pra.0000375710.39713.4d"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-33"},{"key":"e_1_2_8_16_1","unstructured":"National Institute for Mental Health in England(2003)Personality disorder: no longer a diagnosis of exclusion. Policy implementation guidance for the development of services for people with personality disorder. Department of Health"},{"key":"e_1_2_8_17_1","unstructured":"National Institute for Health and Care Excellence (NICE). (2009a).Antisocial personality disorder: treatment management and prevention.https:\/\/www.nice.org.uk\/guidance\/cg77\/evidence\/cg77\u2010antisocial\u2010personality\u2010disorder\u2010full\u2010guideline3. [1 April 2014]"},{"key":"e_1_2_8_18_1","unstructured":"National Institute for Health and Care Excellence (NICE). (2009b).Borderline personality disorder: treatment and management.http:\/\/www.nice.org.uk\/guidance\/cg78\/resources\/guidance\u2010borderline\u2010personality\u2010disorder\u2010pdf. [1 April 2014]"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-009-0084-7"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.11.007"},{"key":"e_1_2_8_21_1","unstructured":"Singh S. P. Burns T. Crawford M. 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