Biomaterial Database

Voluntary and Involuntary Psychiatric Admissions in China. 2015

Jian-Song Zhou, and Yu-Tao Xiang, and Xiao-Min Zhu, and Weiye Liang, and Haien Li, and Jialong Yi, and Fei Liu, and Na Zhao, and Gang Chen, and Shulin Shi, and Guoping Li, and Danlin Shen, and Ning Wei, and Fang Qi, and Wei Tan, and Gabor S Ungvari, and Chee H Ng, and Wei Hao, and Lingjiang Li, and Xiaoping Wang

Dr. Zhou, Dr. Zhu, Dr. Hao, Dr. Lingjiang Li, and Dr. Wang are with Hunan Province Technology Institute of Psychiatry and Key Laboratory of Psychiatry and Mental Health of Hunan Province, Second Xiangya Hospital, Central South University, Changsha, China (e-mail: zhoujs2003@aliyun.com ). Dr. Xiang is with the Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macau, China. Dr. Liang is with Hui Long Guan Hospital, Beijing. Dr. Haien Li is with the Psychiatric Hospital of Jidong County, Heilongjiang, China. Dr. Yi is with the Sixth Hospital of Peking University, Beijing. Dr. Liu is with the Affiliated Hospital of Tongji University, Shanghai, China. Dr. Zhao is with the Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang. Dr Chen is with the Third People's Hospital of Huai'an, Anhui, China. Dr. Shi is with Shuangliu County Mental Health Institute, Sichuan, China. Dr. Guoping Li is with the Seventh Hospital of Liuyang County, Hunan. Dr. Shen is with the West China Hospital of Sichuan University, Sichuan. Dr. Wei is with the First Affiliated Hospital and the Department of Mental Health, Zhejiang University School of Medicine, Hangzhou, China. Dr. Qi is with the Mental Health Center of Henan Province, Henan, China. Dr. Tan is with the Zigong Mental Health Center, Sichuan. Dr. Ungvari is with the School of Psychiatry & Clinical Neurosciences, University of Western Australia, Perth, Australia. Dr. Ng is with the Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.

OBJECTIVE This study examined admission patterns, including voluntary, involuntary, and partly voluntary admissions to Chinese psychiatric hospitals, in relation to sociodemographic and clinical factors, before a new mental health law was implemented in 2013. METHODS Previously admitted patients were interviewed within one week after discharge from 16 psychiatric hospitals across China. Patients' basic sociodemographic and clinical data, including results from the Modified Overt Aggression Scale (MOAS) and the Insight and Treatment Attitudes Questionnaire (ITAQ), were collected. RESULTS Among 797 patients, 224 (28%) had voluntary admissions, 336 (42%) had involuntary admissions, and 237 (30%) had partly voluntary admissions. Male gender, history of hospitalization, diagnosis of schizophrenia and related disorders, and high MOAS score were the risk factors for involuntary admissions, whereas more years of education, higher ITAQ score, and outpatient treatment before the index admission were its protective factors. A diagnosis of schizophrenia-related disorder and high MOAS score were the risk factors for partly voluntary admission, whereas more education and high ITAQ score were its protective factors. CONCLUSIONS Perception of dangerousness and poor insight about mental illness were significant factors in involuntary psychiatric admissions in China. Factors contributing to the changes in patterns of psychiatric admissions after China's implementation of the mental health law are important topics for further research.

UI	MeSH Term	Description	Entries
D007407	Interviews as Topic	Works about conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes works about school admission or job interviews.	Group Interviews,Interviewers,Interviews, Telephone,Oral History as Topic,Group Interview,Interview, Group,Interview, Telephone,Interviewer,Interviews, Group,Telephone Interview,Telephone Interviews
D008297	Male		Males
D010343	Patient Admission	The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.	Voluntary Admission,Admission, Patient,Admission, Voluntary,Admissions, Patient,Admissions, Voluntary,Patient Admissions,Voluntary Admissions
D002681	China	A country spanning from central Asia to the Pacific Ocean.	Inner Mongolia,Manchuria,People's Republic of China,Sinkiang,Mainland China
D003134	Commitment of Mentally Ill	Legal process required for the institutionalization of a patient with severe mental problems.	Outpatient Commitment,Commitment, Outpatient,Mentally Ill Commitments
D005260	Female		Females
D006760	Hospitalization	The confinement of a patient in a hospital.	Hospitalizations
D006778	Hospitals, Psychiatric	Special hospitals which provide care to the mentally ill patient.	Mental Hospitals,Hospitals, Mental,Mental Institutions,Psychiatric Hospitals,Hospital, Mental,Hospital, Psychiatric,Institution, Mental,Institutions, Mental,Mental Hospital,Mental Institution,Psychiatric Hospital
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults