Zwangsmaßnahmen bei Kindern und Jugendlichen: Eine Analyse von Entwicklung, Zeitverlauf und Diagnoseverteilung von Zwangsmaßnahmen, sowie Untersuchung von Patientencharakteristika.
Closset, Julienne Claudine
Coercive measures include holding, mechanical restraint, seclusion and forced medication of patients. The subject of this study is the complete collection of all coercive measures used from January 2005 to June 2011 at Kinder- und Jugendpsychiatrie Weissenau (Child and Adolescent Psychiatry Hospital Weissenau). These had been documented after each implementation in an electronic record. Among the recorded data were the duration and reason for the coercive measure. In addition individual-related analyses were done to evaluate the influence of patients’ characteristics on the use of coercive measures. For this purpose, files of 218 patients aged 5 to 18 years were analyzed who experienced coercive measures in the aforementioned time period and compared to a control group of patients who did not experience coercive measures. 14% of all patients were affected. The most common coercive measure was seclusion, used in 88% of cases. Children showed a significantly shorter duration of coercive measures than adolescents. Boys experienced coercive measures more frequently than girls. In girls, self-directed aggressive behavior tended to be the cause for coercive measures. No significant difference was found in regard to the attributes of intelligence and violent experience. Multicenter and prospective studies are necessary to support this data and develop a risk management system.
Subject HeadingsAggression [GND]
Adolescent psychiatry [MeSH]
Agonistic behavior [MeSH]
Child psychiatry [MeSH]
Restraint, physical [MeSH]