{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:45:54Z","timestamp":1787021154709,"version":"build-2736575974"},"reference-count":27,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"unspecified","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec id=\"S2056472423006282_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is uncertainty about factors associated with involuntary in-patient psychiatric care. Understanding these factors would help in reducing coercion in psychiatry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472423006282_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore variables associated with involuntary care in the largest database of involuntary admissions published.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472423006282_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We identified 166 102 public mental health hospital admissions over 5 years in New South Wales, Australia. Demographic, clinical and episode-of-care variables were examined in an exploratory, multivariable logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472423006282_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 54% of eligible admissions included involuntary care. The strongest associations with involuntary care were referral from the legal system (odds ratio 4.98, 95% CI 4.61\u20135.38), and psychosis (odds ratio 4.48, 95% CI 4.31\u20134.64) or organic mental disorder (odds ratio 4.40, 95% CI 3.85\u20135.03). There were moderately strong associations between involuntary treatment and substance use disorder (odds ratio 2.68, 95% CI 2.56\u20132.81) or affective disorder (odds ratio 2.06, 95% CI 1.99\u20132.14); comorbid cannabis and amphetamine use disorders (odds ratio 1.65, 95% CI 1.57\u20131.74); unmarried status (odds ratio 1.62, 95% CI 1.49\u20131.76) and being born in Asia (odds ratio 1.42, 95% CI 1.35\u20131.50), Africa or the Middle East (odds ratio 1.32, 95% CI 1.24\u20131.40). Involuntary care was less likely for people aged &gt;75 years (odds ratio 0.68, 95% CI 0.62\u20130.74), with comorbid personality disorder (odds ratio 0.90, 95% CI 0.87\u20130.94) or with private health insurance (odds ratio 0.89, 95% CI 0.86\u20130.93).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472423006282_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This research strengthens the evidence linking diagnostic, socioeconomic and cultural factors to involuntary treatment. Targeted interventions are needed to reduce involuntary admissions in disadvantaged groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2023.628","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T03:53:43Z","timestamp":1709524423000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":10,"title":["Factors associated with involuntary mental healthcare in New South Wales, Australia"],"prefix":"10.1192","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6632-4767","authenticated-orcid":false,"given":"Amy","family":"Corderoy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e59"}}