Background and Aims: Immigrants in Europe appear at higher risk of psychiatric coercive interventions. No studies have investigated this issue in Italy. The aim of this study is to investigate whether the use of physical restraint, compulsory admission and other treatment characteristics differ in immigrated and Italian-born patients admitted to a psychiatric intensive care unit. Methods: One hundred first-generation immigrant patients were compared to 100 age-, gender- and diagnosis-matched Italian-born patients. Subjects were diagnosed according to DSM-IV-TR and rated on the Clinical Global Impression - Severity Scale and the Global Assessment of Functioning. Clinical data and treatment characteristics were collected. Results: Immigrant patients were more likely to be physically restrained as compared to Italian-born patients (11% vs 3%; (2) = 4.92; p = 0.027; RR = 3.67; 95% CI = 1.05-12.7). No differences in the proportion of involuntary treatment were found. Immigrant patients did not receive higher doses of antipsychotics or benzodiazepines, but they had a longer stay in the hospital. Conclusions: The higher rate of physical restraint among migrants may reflect cultural, ethnic and language differences leading to communication problems between immigrant patients and mental health professionals. Since coercive interventions can be harmful, specific strategies to prevent this phenomenon in immigrants are needed.

Acute psychiatric treatment and the use of physical restraint in first-generation immigrants in Italy: A prospective concurrent study / Tarsitani, Lorenzo; Pasquini, Massimo; Maraone, Annalisa; M. P., Zerella; Berardelli, Isabella; R., Giordani; G. M., Polselli; Biondi, Massimo. - In: INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY. - ISSN 0020-7640. - STAMPA. - 59:6(2013), pp. 613-618. [10.1177/0020764012450985]

Acute psychiatric treatment and the use of physical restraint in first-generation immigrants in Italy: A prospective concurrent study

TARSITANI, LORENZO;PASQUINI, MASSIMO;MARAONE, ANNALISA;BERARDELLI, ISABELLA;BIONDI, Massimo
2013

Abstract

Background and Aims: Immigrants in Europe appear at higher risk of psychiatric coercive interventions. No studies have investigated this issue in Italy. The aim of this study is to investigate whether the use of physical restraint, compulsory admission and other treatment characteristics differ in immigrated and Italian-born patients admitted to a psychiatric intensive care unit. Methods: One hundred first-generation immigrant patients were compared to 100 age-, gender- and diagnosis-matched Italian-born patients. Subjects were diagnosed according to DSM-IV-TR and rated on the Clinical Global Impression - Severity Scale and the Global Assessment of Functioning. Clinical data and treatment characteristics were collected. Results: Immigrant patients were more likely to be physically restrained as compared to Italian-born patients (11% vs 3%; (2) = 4.92; p = 0.027; RR = 3.67; 95% CI = 1.05-12.7). No differences in the proportion of involuntary treatment were found. Immigrant patients did not receive higher doses of antipsychotics or benzodiazepines, but they had a longer stay in the hospital. Conclusions: The higher rate of physical restraint among migrants may reflect cultural, ethnic and language differences leading to communication problems between immigrant patients and mental health professionals. Since coercive interventions can be harmful, specific strategies to prevent this phenomenon in immigrants are needed.
2013
inpatient psychiatric care; involuntary treatment; length of stay; mental disorders; migration; physical restraint
01 Pubblicazione su rivista::01a Articolo in rivista
Acute psychiatric treatment and the use of physical restraint in first-generation immigrants in Italy: A prospective concurrent study / Tarsitani, Lorenzo; Pasquini, Massimo; Maraone, Annalisa; M. P., Zerella; Berardelli, Isabella; R., Giordani; G. M., Polselli; Biondi, Massimo. - In: INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY. - ISSN 0020-7640. - STAMPA. - 59:6(2013), pp. 613-618. [10.1177/0020764012450985]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/480906
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