{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:21:04Z","timestamp":1786116064038,"version":"build-2736575974"},"reference-count":43,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec id=\"S2056472426120675_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Questions have been raised whether the patient organisations assessments of coercion \u2013 often critical \u2013 captures the breadth of patient experiences of coercion. Existing systematic reviews have not captured the full scope of reported experiences, necessitating a more comprehensive approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120675_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To identify the existing body of qualitative studies reporting patients\u2019 experiences of coercion; map study distribution over time, regions, and type of coercion; and synthesise broad categories of reported experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120675_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The review protocol was preregistered (PROSPERO identifier CRD42021248744). We searched 12 databases (MEDLINE, Embase, APA PsycINFO, CINAHL, Web of Science, Sociological Abstracts, Scopus, ASSIA, Norart, SveMed+, OpenGrey.eu and Google Scholar) for qualitative studies published from 1 January 1991 to 3 June 2025. Peer-reviewed studies and approved doctoral theses were included. We used EPPI-Reviewer for screening, data extraction and coding. Study quality was assessed with a modified Critical Appraisal Skills Programme tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120675_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 291 studies, 18 of them from low-and middle-income countries. The most studied coercive practices were involuntary admissions, coercive measures and community treatment orders. Quality concerns included limited author reflexivity and lack of involvement of experts by experience. At least one negative experience was reported in 279 of the studies, while mixed and positive experiences appeared in 166 and 167, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120675_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A large body of qualitative research reporting patient experiences of coercion exists, with a near-universal presence of negative experiences. Improved patient involvement in research, and more studies from low-and middle-income countries and on involuntary medication are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2026.12067","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T07:14:39Z","timestamp":1786000479000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Patient experiences of coercion in mental healthcare: systematic review and metasummary of qualitative studies from 1991 to 2025"],"prefix":"10.1192","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0991-7176","authenticated-orcid":false,"given":"Olav","family":"Nyttingnes","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0331wat71","id-type":"ROR","asserted-by":"publisher"}],"name":"Akershus University Hospital"},{"id":[{"id":"https:\/\/ror.org\/03np4e098","id-type":"ROR","asserted-by":"publisher"}],"name":"Haukeland University Hospital"},{"id":[{"id":"https:\/\/ror.org\/00kxjcd28","id-type":"ROR","asserted-by":"publisher"}],"name":"Molde University College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonje Lossius","family":"Husum","sequence":"additional","affiliation":[{"name":"Oslo Metropolitan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solveig Helene H\u00f8ymork","family":"Kjus","sequence":"additional","affiliation":[{"name":"Norwegian University of Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiina","family":"\u00d6verlund","sequence":"additional","affiliation":[{"name":"University of Turku"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5842-2845","authenticated-orcid":false,"given":"Jorun","family":"Rugkasa","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0331wat71","id-type":"ROR","asserted-by":"publisher"}],"name":"Akershus University Hospital"},{"name":"Oslo Metropolitan University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"S2056472426120675_ref12","volume-title":"SSRN","author":"Minkowitz","year":"2012"},{"key":"S2056472426120675_ref27","volume-title":"World Bank Income Groups 2019","year":"2024"},{"key":"S2056472426120675_ref32","doi-asserted-by":"publisher","DOI":"10.4102\/hsag.v12i4.267"},{"key":"S2056472426120675_ref29","first-page":"31","article-title":"Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis","volume":"1","author":"Long","year":"2020","journal-title":"Res Methods Med Health Sci"},{"key":"S2056472426120675_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1563"},{"key":"S2056472426120675_ref15","volume-title":"Mental Health and Law System in Transition","author":"Stone"},{"key":"S2056472426120675_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31135-3"},{"key":"S2056472426120675_ref38","volume-title":"Strategies to End the Use of Seclusion, Restraint and Other Coercive Practices","year":"2017"},{"key":"S2056472426120675_ref36","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2014.998809"},{"key":"S2056472426120675_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-26748-7"},{"key":"S2056472426120675_ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00271"},{"key":"S2056472426120675_ref41","doi-asserted-by":"publisher","DOI":"10.1080\/09515089.2022.2156333"},{"key":"S2056472426120675_ref28","doi-asserted-by":"publisher","DOI":"10.4103\/0976-500X.107697"},{"key":"S2056472426120675_ref11","first-page":"187","volume-title":"Coercive Treatment in Psychiatry. 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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 (https:\/\/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":"e205"}}