{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T08:08:04Z","timestamp":1773302884719,"version":"3.50.1"},"reference-count":45,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2018,7,15]],"date-time":"2018-07-15T00:00:00Z","timestamp":1531612800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2018,7,15]],"date-time":"2018-07-15T00:00:00Z","timestamp":1531612800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["europsy-journal.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","em-consulte.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0924933800008713_abs1\" sec-type=\"other\"><jats:title>Background:<\/jats:title><jats:p>The decision to adopt forced medication in psychiatric care is particularly relevant from a clinical and ethical viewpoint. The European Commission has funded the EUNOMIA study in order to develop European recommendations for good clinical practice on coercive measures, including forced medication.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800008713_abs2\" sec-type=\"methods\"><jats:title>Methods:<\/jats:title><jats:p>The recommendations on forced medication have been developed in 11 countries with the involvement of national clinical leaders, key-professionals and stakeholders\u2019 representatives. The national recommendations have been subsequently summarized into a European shared document.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800008713_abs3\" sec-type=\"results\"><jats:title>Results:<\/jats:title><jats:p>Several cross-national differences exist in the use of forced medication. These differences are mainly due to legal and policy making aspects, rather than to clinical situations. In fact, countries agreed that forced medication can be allowed only if the following criteria are present: 1) a therapeutic intervention is urgently needed; 2) the voluntary intake of medications is consistently rejected; 3) the patient is not aware of his\/her condition. Patients\u2019 dignity, privacy and safety shall be preserved at all times.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800008713_abs4\" sec-type=\"other\"><jats:title>Conclusion:<\/jats:title><jats:p>The results of our study show the need of developing guidelines on the use of forced medication in psychiatric practice, that should be considered as the last resort and only when other therapeutic option have failed.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2018.07.002","type":"journal-article","created":{"date-parts":[[2018,8,14]],"date-time":"2018-08-14T23:03:15Z","timestamp":1534287795000},"page":"35-40","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":27,"title":["How to improve clinical practice on forced medication in psychiatric practice: Suggestions from the EUNOMIA European multicentre study"],"prefix":"10.1017","volume":"54","author":[{"given":"Mario","family":"Luciano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corrado","family":"De Rosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaia","family":"Sampogna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeria","family":"Del Vecchio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Giallonardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Fabrazzo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Catapano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Onchev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiri","family":"Raboch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Mastrogianni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahava","family":"Solomon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Algirdas","family":"Dembinskas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Nawka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrzej","family":"Kiejna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Torres-Gonzales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Kjellin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kallert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Fiorillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,7,15]]},"reference":[{"key":"S0924933800008713_bib0065","doi-asserted-by":"publisher","DOI":"10.1586\/14737175.2014.874286"},{"key":"S0924933800008713_bib0210","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2015.02.003"},{"key":"S0924933800008713_bib0175","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-014-0553-1"},{"key":"S0924933800008713_bib0205","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2012.10.012"},{"key":"S0924933800008713_bib0195","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20256"},{"key":"S0924933800008713_bib0095","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2850.2003.00555.x"},{"key":"S0924933800008713_bib0070","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2015.1132007"},{"key":"S0924933800008713_bib0170","doi-asserted-by":"publisher","DOI":"10.1016\/S0160-2527(00)00069-8"},{"key":"S0924933800008713_bib0090","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04832.x"},{"key":"S0924933800008713_bib0035","first-page":"160","article-title":"Involuntary medication in psychiatry","volume":"33","author":"Steinert","year":"2006","journal-title":"Psychiatr Prax"},{"key":"S0924933800008713_bib0190","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-014-0869-1"},{"key":"S0924933800008713_bib0150","doi-asserted-by":"publisher","DOI":"10.1080\/14999013.2007.10471263"},{"key":"S0924933800008713_bib0085","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2008.59.2.209"},{"key":"S0924933800008713_bib0030","doi-asserted-by":"publisher","DOI":"10.4321\/S1575-06202014000100002"},{"key":"S0924933800008713_bib0200","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2014.00037"},{"key":"S0924933800008713_bib0165","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2008.59.7.795"},{"key":"S0924933800008713_bib0105","doi-asserted-by":"publisher","DOI":"10.1177\/0020764011431543"},{"key":"S0924933800008713_bib0040","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.10.1012"},{"key":"S0924933800008713_bib0060","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-014-0872-6"},{"key":"S0924933800008713_bib0130","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e328305e49f"},{"key":"S0924933800008713_bib0140","unstructured":"[28] Department of Health and Welsh Office Government Guidance 1999, The Stationary Office London, UK."},{"key":"S0924933800008713_bib0080","doi-asserted-by":"publisher","DOI":"10.1176\/ps.62.5.pss6205_0471"},{"key":"S0924933800008713_bib0155","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-017-1363-3"},{"key":"S0924933800008713_bib0045","doi-asserted-by":"publisher","DOI":"10.1177\/0269881112439252"},{"key":"S0924933800008713_bib0145","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2009.60.2.231"},{"key":"S0924933800008713_bib0185","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2016.02.001"},{"key":"S0924933800008713_bib0025","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12445"},{"key":"S0924933800008713_bib0020","unstructured":"[4] National Institute for Health and Care Excellence Violence and aggression: short-term management in mental health, health and community settings Available at 2015 (Accessed 2 April 2018) https:\/\/www.nice.org.uk\/guidance\/ng10."},{"key":"S0924933800008713_bib0115","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1490-0"},{"key":"S0924933800008713_bib0225","unstructured":"[45] United Nations. General Assembly Convention on the Rights of Persons with Disabilities 2018 Available at: http:\/\/www.un.org\/esa\/socdev\/enable\/rights\/convtexte.htm (Accessed 02 April 2018)."},{"key":"S0924933800008713_bib0110","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6163.2010.00301.x"},{"key":"S0924933800008713_bib0055","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-010-0259-2"},{"key":"S0924933800008713_bib0120","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2005.10.002"},{"key":"S0924933800008713_bib0010","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8519.2007.00610.x"},{"key":"S0924933800008713_bib0220","author":"World Health Organization","year":"2003","journal-title":"\u201cMental health legislation and human rights\u201d (Mental health policy and service guidance package)"},{"key":"S0924933800008713_bib0160","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.2008.01790.x"},{"key":"S0924933800008713_bib0135","first-page":"168","article-title":"The EUNOMIA project on coercion in psychiatry: study design and preliminary data","volume":"4","author":"Kallert","year":"2005","journal-title":"World Psychiatry"},{"key":"S0924933800008713_bib0015","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2008.03.002"},{"key":"S0924933800008713_bib0005","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2011.01809.x"},{"key":"S0924933800008713_bib0215","unstructured":"[43] World Psychiatric Association Madrid Declaration on Ethical Standards for Psychiatric Practice Available at: 2018 (Accessed 02 April 2018) http:\/\/www.wpanet.org\/detail.php?section_id=5&content_id=48."},{"key":"S0924933800008713_bib0125","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2010.01.013"},{"key":"S0924933800008713_bib0050","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05784.x"},{"key":"S0924933800008713_bib0180","first-page":"10","article-title":"Prevalence and risk factors for the use of restraint in psychiatry: a systematic review","volume":"48","author":"Beghi","year":"2013","journal-title":"Riv Psichiatr"},{"key":"S0924933800008713_bib0100","doi-asserted-by":"publisher","DOI":"10.3109\/08039480903274449"},{"key":"S0924933800008713_bib0075","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.112813"}],"container-title":["European Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933818301378?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933818301378?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0924933800008713","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T05:57:51Z","timestamp":1578635871000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0924933800008713\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,15]]},"references-count":45,"alternative-id":["S0924933800008713"],"URL":"https:\/\/doi.org\/10.1016\/j.eurpsy.2018.07.002","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"value":"0924-9338","type":"print"},{"value":"1778-3585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,15]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"How to improve clinical practice on forced medication in psychiatric practice: Suggestions from the EUNOMIA European multicentre study","name":"articletitle","label":"Article Title"},{"value":"European Psychiatry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eurpsy.2018.07.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Masson SAS. All rights reserved.","name":"copyright","label":"Copyright"}]}}