{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T08:10:50Z","timestamp":1781511050218,"version":"3.54.1"},"reference-count":54,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T00:00:00Z","timestamp":1727222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Sciences"],"abstract":"<jats:p>Background\/Objectives: In Belgium, involuntary psychiatric hospitalization is authorized in the presence of certain criteria governed by the law relating to the protection of the mentally ill. The number of involuntary hospitalizations has been increasing continuously in recent years. Since personality disorders are frequent comorbidities in involuntarily hospitalized patients, the aim of this study was to investigate the potential role played by comorbid personality disorders in the decisions about involuntary hospitalization made during urgent forensic assessment. Methods: A total of 565 individuals were retrospectively recruited from the database of urgent forensic assessment carried out in the Psychiatric Emergency Department. Logistic regression analyses were performed to investigate the risk of involuntary hospitalization associated with comorbid personality disorders in patients referred for urgent forensic assessment. Results: 66.7% of urgent forensic assessments resulted in involuntary hospitalization. In addition, comorbid personality disorders (especially borderline personality disorder) were associated with a lower risk of involuntary hospitalization in patients referred for urgent forensic assessment. Conclusions: In this study, we demonstrated that urgent forensic assessments frequently result in involuntary hospitalizations. Furthermore, this study highlighted that comorbid personality disorders (especially borderline personality disorder) appeared to have a major impact on the decision not to involuntarily hospitalize patients referred for urgent forensic assessment. These elements therefore justify the establishment of adequate clinical reflection to avoid the stigmatization related to these frequent comorbidities in patients at risk of involuntary hospitalization.<\/jats:p>","DOI":"10.3390\/brainsci14100961","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T09:46:20Z","timestamp":1727343980000},"page":"961","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Comorbid Personality Disorder on the Risk of Involuntary Hospitalization in Patients Referred for Urgent Forensic Assessment: A Cross-Sectional Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Axel","family":"Dossa","sequence":"first","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 Libre de Bruxelles (ULB), 1070 Bruxelles, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4243-1653","authenticated-orcid":false,"given":"Matthieu","family":"Hein","sequence":"additional","affiliation":[{"name":"Service de Psychiatrie et Laboratoire du Sommeil, H\u00f4pital Universitaire de Bruxelles, Universit\u00e9 Libre de Bruxelles (ULB), 1070 Bruxelles, Belgium"},{"name":"Laboratoire de Psychologie M\u00e9dicale et Addictologie (ULB312), Universit\u00e9 Libre de Bruxelles (ULB), 1020 Bruxelles, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oussama","family":"Bikrani","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 Libre de Bruxelles (ULB), 1070 Bruxelles, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5603-4600","authenticated-orcid":false,"given":"Benjamin","family":"Wacquier","sequence":"additional","affiliation":[{"name":"Service de Psychiatrie et Laboratoire du Sommeil, H\u00f4pital Universitaire de Bruxelles, Universit\u00e9 Libre de Bruxelles (ULB), 1070 Bruxelles, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Point","sequence":"additional","affiliation":[{"name":"Service de Psychiatrie et Laboratoire du Sommeil, H\u00f4pital Universitaire de Bruxelles, Universit\u00e9 Libre de Bruxelles (ULB), 1070 Bruxelles, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,25]]},"reference":[{"key":"ref_1","first-page":"295","article-title":"La mise en observation: Gestion en m\u00e9decine g\u00e9n\u00e9rale","volume":"25","author":"Stillemans","year":"2004","journal-title":"Rev. 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