Likelihood and predictors of detention in patients with personality disorder compared with other mental disorders: A retrospective, quantitative study of Mental Health Act assessments.
File(s)
Author(s)
Type
Journal Article
Abstract
BACKGROUND: The UK guidelines on the treatment of personality disorder recommend avoiding compulsory treatment except in extreme situations. Little is known about how often patients with personality disorder are detained or how this compares with the treatment of other mental disorders. OBJECTIVES: Our aim is to test the hypothesis that people with personality disorder are infrequently detained under the Mental Health Act (MHA) and that risk factors associated with detention are the same as those for people with other mental disorders. METHOD: We used a retrospective, quantitative study of MHA assessments. RESULTS: Of the 2 087 assessments undertaken, 204 (9.8%) patients had a diagnosis of personality disorder; 40.7% of assessments in the personality disorder group resulted in detention, as did 69.7% of patients with other mental disorders. A higher proportion of people with personality disorder received no intervention following assessment compared with those with other mental disorders (20.6% vs. 4.7%, p < 0.001). Study centre and a history of admission were risk factors for detention in both groups. Risk was a predictor of detention in those with other mental disorders. CONCLUSIONS: Detention rates in patients with personality disorder are lower than those for other disorders but are still substantial. Risk factors for detention in patients with personality disorder differ from those with other mental disorders. Copyright © 2016 John Wiley & Sons, Ltd.
Date Issued
2016-03-16
Date Acceptance
2015-12-10
Citation
Personality and Mental Health, 2016, 10 (3), pp.191-204
ISSN
1932-863X
Publisher
Wiley
Start Page
191
End Page
204
Journal / Book Title
Personality and Mental Health
Volume
10
Issue
3
Copyright Statement
This is the peer reviewed version of the following article: Olajide, K., Tyrer, P., Singh, S. P., Burns, T., Rugkåsa, J., Thana, L., Paul, M., Islam, Z., and Crawford, M. J. (2016) Likelihood and predictors of detention in patients with personality disorder compared with other mental disorders: A retrospective, quantitative study of Mental Health Act assessments. Personality and Mental Health, doi: 10.1002/pmh.1332, which has been published in final form at https://dx.doi.org/10.1002/pmh.1332. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
Sponsor
Central & North West London NHS Foundation Trust
Grant Number
N/A
Subjects
1103 Clinical Sciences
1117 Public Health And Health Services
1701 Psychology
Publication Status
Published