Predictors of the use of restraint in inpatient psychiatric care among patients admitted via an emergency department

Predictors of the use of restraint in inpatient psychiatric care among patients admitted via an emergency department - PANZ

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

DRKS

Registry ID

DRKS00028820

Enrollment

3000

Registered

2022-04-29

Start date

2022-02-10

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

F00-F99

Interventions

Group 1: All patients admitted to a psychiatric ward of the Vivantes Klinikum Am Urban (KAU) between Januar 1st and December 31st 2019 via the emergency department

Eligibility

Sex/Gender

All

Age

16 Years to No maximum

Inclusion criteria

Inclusion criteria: All patients admitted to a psychiatric ward of the Vivantes Klinikum Am Urban (KAU) between Januar 1st 0.00 am and December 31st 2019 11.59 p.m. via the emergency department

Exclusion criteria

Exclusion criteria: none (among the named above)

Design outcomes

Primary

Measure	Time frame
Main hypotheses 1. The type of referral is a predictor of the use of coercive measures: 1.1.There is an association between escort by police and frequency of use of coercive measures. 1.2. There is an association between the mode on admission (against the will) and the frequency of use of coercive measures. 1.3 There is a correlation between judicial/governmental placement and the frequency of use of coercive measures.	—

Measure

Time frame

Main hypotheses 1. The type of referral is a predictor of the use of coercive measures: 1.1.There is an association between escort by police and frequency of use of coercive measures. 1.2. There is an association between the mode on admission (against the will) and the frequency of use of coercive measures. 1.3 There is a correlation between judicial/governmental placement and the frequency of use of coercive measures.

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Secondary

Measure	Time frame
Secondary hypotheses 2. Whether coercive measures are performed depends on temporal criteria: 2.1. Coercive measures take place mainly in the first 24 h after admission to the emergency department. 2.2. Coercive Measures that are performed during an inpatient stay occur more often during the day and in the early evening hours (8-23:59h) than at night and in the early morning hours (0.00-7:59). 3. The ICD-10 diagnosis on admission has an influence on whether coercive measures are carried out in the following sense: 3.1 A diagnosis from the ICD-10 range F20-F29 on admission is predictive of the use of coercive measures. 3.2 A diagnosis in the ICD-10 range F10-F19 on admission is predictive of the use of coercive measures. 4. The most common reason for coercive measures is endangerment of others. 5. Demographic variables have an impact on the use of coercive measures: 5.1. Younger patients are more likely to experience coercive measures. 5.2. Older patients experience coercive measures longer. 5.3. Male gender is predictive of the use of coercive measures. 6. Readmission is predictive of the use of coercive measures.	—

Measure

Time frame

Secondary hypotheses 2. Whether coercive measures are performed depends on temporal criteria: 2.1. Coercive measures take place mainly in the first 24 h after admission to the emergency department. 2.2. Coercive Measures that are performed during an inpatient stay occur more often during the day and in the early evening hours (8-23:59h) than at night and in the early morning hours (0.00-7:59). 3. The ICD-10 diagnosis on admission has an influence on whether coercive measures are carried out in the following sense: 3.1 A diagnosis from the ICD-10 range F20-F29 on admission is predictive of the use of coercive measures. 3.2 A diagnosis in the ICD-10 range F10-F19 on admission is predictive of the use of coercive measures. 4. The most common reason for coercive measures is endangerment of others. 5. Demographic variables have an impact on the use of coercive measures: 5.1. Younger patients are more likely to experience coercive measures. 5.2. Older patients experience coercive measures longer. 5.3. Male gender is predictive of the use of coercive measures. 6. Readmission is predictive of the use of coercive measures.

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Countries

Germany

Contacts

Public ContactJohanna Baumgardt

Vivantes Klinikum Am Urban, Klinik für Psychiatrie, Psychotherapie und Psychosomatik

johanna.baumgardt@vivantes.de030-130226047

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026