CLINICAL, PSYCHOPATHOLOGICAL, AND SOCIO-DEMOGRAPHIC CHARACTERISTICS OF PATIENTS SUBJECTED TO COMPULSORY HOSPITALIZATION AND TREATMENT

Objective. To compare the frequency of compulsory hospitalizations to the republican psychiatric hospitals, the peculiarities of mental disorders clinical manifestations in persons subjected to compulsory hospitalization, their socio-demographic characteristics, supporting treatment, and case histories.

Materials and methods. Information on the compulsory hospitalizations frequency was obtained on the basis of the reports provided by the Organizational and Methodological Department of the Center for Mental Health. Thirty-five patients who had been treated under compulsory hospitalization were examined. Their personal information was collected from the medical records, clinical interviews, and follow-up data.

Results. The share of compulsory hospitalizations in the Republic is 0.18% of all the patients admitted to psychiatric hospitals. Among the patients subjected to involuntary hospitalization, persons with chronic mental disorders prevailed, paranoid symptoms being observed most frequently in the clinical picture of the disease. Of them, 40% had previously shown physical aggression or were under trial. The majority of those patients belonged to the socially vulnerable group: almost 70% of them were unemployed or received an old-age pension or a disability pension. The average duration of the involuntary admission was longer than that of the voluntary one.

Conclusion. The data obtained indicate indirectly at the mental disorders severity that contributed to coercion. The compulsory hospitalization procedure helps to protect the interests of the society and it is not discriminatory towards the patient.

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Автор(ы): I. I. Khvostova, A. I. Startsev, T. V. Korotkevich