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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.

References

    1. Saya A, Brugnoli C, Piazzi G, et al. Criteria, procedures, and future prospects of involuntary treatment in psychiatry around the world: a narrative review. Front Psychiatry. 2019;10:271. doi: 10.3389/fpsyt.2019.00271. - DOI - PMC - PubMed
    1. Hotzy F, Hengartner MP, Hoff P, et al. Clinical and socio-demographic characteristics associated with involuntary admissions in Switzerland between 2008 and 2016: an observational cohort study before and after implementation of the new legislation. Eur Psychiatry. 2019;59:70–76. doi: 10.1016/j.eurpsy.2019.04.004. - DOI - PubMed
    1. Zhang S, Mellsop G, Brink J, Wang X. Involuntary admission and treatment of patients with mental disorder. Neurosci Bull. 2015;31:99–112. doi: 10.1007/s12264-014-1493-5. - DOI - PMC - PubMed
    1. Chen H, Phillips M, Cheng H, et al. Mental Health Law of the People’s Republic of China (English translation with annotations): translated and annotated version of China’s new Mental Health Law. Shanghai Arch Psychiatry. 2012;24:305–321. - PMC - PubMed
    1. Jiang F, Zhou H, Rakofsky JJ, et al. The implementation of China’s mental health law-defined risk criteria for involuntary admission: a national cross-sectional study of involuntarily hospitalized patients. Front Psychiatry. 2018;9:560. doi: 10.3389/fpsyt.2018.00560. - DOI - PMC - PubMed

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