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Psychiatric commitment: over 50 years of case law from the European Court of Human Rights

Published online by Cambridge University Press:  16 April 2020

G. Niveau*
Affiliation:
Department of Community Health and Medicine, Faculty of Medicine, IUML, avenue de Champel 9, 1211Geneva 4, Switzerland
J. Materi
Affiliation:
Department of Community Health and Medicine, Faculty of Medicine, IUML, avenue de Champel 9, 1211Geneva 4, Switzerland
*
*Corresponding author. E-mail address: [email protected] (G. Niveau).
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Abstract

Purpose

To extensively review the European Court of Human Rights (ECHR) case law concerning psychiatric commitment, and to estimate the role of this supranational jurisprudence in the practice of contemporary psychiatry.

Method

Using keywords to search the ECHR computerized database “HUDOC”, we reviewed all cases concerning psychiatric commitment registered between September 1953 and December 31, 2004. Four groups were identified: applications declared inadmissible; applications accepted but not judged by the Court; pending cases; and cases judged by the Court.

Results

Of the almost 118,000 decisions taken by the ECHR in this time frame, we found 108 situations concerning psychiatric commitment. Forty-one of these applications were considered by the Court to be inadmissible. Twenty-four other cases were considered admissible but not judged by the ECHR. Three admissible cases were still pending at the end of 2004. The ECHR judged 40 cases, and found in 35 of them that one or several rights as guaranteed by the Convention had been violated.

Discussion

The ECHR protects the human rights of persons subjected to involuntary psychiatric commitment by creating supranational law in the following areas: definition of “unsoundness of mind”; conditions of lawfulness of detention; right to a review of detention by a Court; right to information; right to respect for private and family life; and conditions of confinement, which address inhuman and degrading treatment. The respective number of applications submitted to the ECHR did not depend on when the Convention had entered into force in that country.

Conclusion

The possibility of an individual to access the ECHR depends on the degree of democracy in his country and on the access to legal assistance through non-governmental organizations or individual intervening parties.

Type
Original article
Copyright
Copyright © Elsevier SAS 2006

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