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. 2022 Jul 2;16(1):32.
doi: 10.1186/s13033-022-00543-w.

Why did China's mental health law have a limited effect on decreasing rates of involuntary hospitalization?

Yarong Ma  1 , Jie Zhang  1 , Robert Rosenheck  2 , Hongbo He  3
Affiliations

Why did China's mental health law have a limited effect on decreasing rates of involuntary hospitalization?

Yarong Ma et al. Int J Ment Health Syst. .

Abstract

Background: China's Mental Health Law (MHL) implemented in 2013 required increased consideration of the rights of people with mental illness and was expected to lead to a reduction in involuntary hospitalization (IH). This study aimed to examine the rates and correlates of IH in a large psychiatric hospital in Guangzhou from 2014 to 2017 after the implementation of MHL and a structured assessment of the need for IH.

Methods: Unduplicated electronic medical records concerning all inpatients admitted to the hospital with a primary psychiatric diagnose were examined. Diagnostic, sociodemographic and socioeconomic data were used to identify correlates of IH using bivariate chi-square tests followed by logistic regression analysis.

Results: Of 10, 818 hospitalized patients, there was a significant but small increase, from 71.6 to 74.9% in rates of IH in the years after a structured assessment of need for IH was implemented. Logistic regression analysis showed IH was positively associated with being younger, having a local residence, and a diagnosis of bipolar disorder, schizophrenia spectrum disorders or a substance abuse disorder as compared to those diagnosed with major depressive disorder.

Conclusions: IH did not decrease over the first four years after the implementation of China's MHL and a structured assessment in 2013 perhaps, reflecting the initiation of a systematic assessment of the need for IH and the relatively low number of psychiatric beds in this area.

Keywords: China’s Mental Health Law; Involuntary hospitalization; Psychiatric beds; Rate.

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Conflict of interest statement

All authors declare that there are no competing interests.

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