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Review of a sample of episodes of forced medication in an area of southern Spain

Published online by Cambridge University Press:  19 July 2023

L. I. Muñoz-Manchado ,
J. M. Mongil-Sanjuan ,
J. I. Pérez-Revuelta ,
C. M. Robledo Casal  and
J. M. Villagrán-Moreno
L. I. Muñoz-Manchado*
Affiliation:
Mental Health Unit
J. M. Mongil-Sanjuan
Affiliation:
Mental Health Unit
J. I. Pérez-Revuelta
Affiliation:
Mental Health Unit
C. M. Robledo Casal
Affiliation:
UGC North of Cadiz, Mental Health Inpatient Unit, General Hospital, Jerez de la Frontera. Fundación Biomédica de Cádiz., Jerez de la Frontera, Cádiz., Spain
J. M. Villagrán-Moreno
Affiliation:
Mental Health Unit
*
*Corresponding author.

Abstract

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Introduction

Forced medication is one of the most frequently used coercive measures in acute mental health units. It is a practice that can lead to physical, psychological and psychopathological consequences. Therefore, it is necessary to implement measures to reduce its use. In this sense, it is interesting to study the variables that can be associated with its use, and thus take measures accordingly.

Objectives

This study attempts to identify the number of forced medication episodes between July 2017 and December 2018 treated in the catchment area of the Mental Health Service at Jerez Hospital. As a secondary objective, it pursues to identify the factors that conducted to the use of forced medication with the intention of being able to reduce the use of these measures.

Methods

A descriptive and retrospective study has been developed reviewing the total number of episodes of forced medication. Patients admitted and discharged from hospital between July 2017 and December 2018 treated in the Mental Health Service at Jerez Hospital. Data were extracted from medical records.

Results

The total number of episodes of forced medication identified was 330. In these episodes, the average age was 41 years, with a predominance of 74% of the male gender. The most used route in the episodes was intramuscular (94.8%), in addition, more than 50% needed the association of two drugs, the most used were haloperidol and olanzapine. The 32.7% of the episodes also required the use of mechanical restraint and 44.2% required the presence of security service.

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Conclusions

We present the descriptive analysis of a further study currently been conducted in hour hospital which means to stablish predictive factors for the use of forced medication. We therefore intend to create patient profile, as well as new measures specifically directed to these factors with which to diminish the use of forced medication.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S1067
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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