Shiina A, Sato A, Iyo M, Fujii C. Outcomes of administrative involuntary hospitalization: A national retrospective cohort study in Japan. World J Psychiatr 2019; 9(7): 99-106 [PMID: 31799153 DOI: 10.5498/wjp.v9.i7.99]
Corresponding Author of This Article
Akihiro Shiina, MD, MSc, PhD, Associate Professor, Research Associate Professor, Division of Medical Treatment and Rehabilitation, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan. shiina-akihiro@faculty.chiba-u.jp
Research Domain of This Article
Psychiatry
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
Shiina A, Sato A, Iyo M, Fujii C. Outcomes of administrative involuntary hospitalization: A national retrospective cohort study in Japan. World J Psychiatr 2019; 9(7): 99-106 [PMID: 31799153 DOI: 10.5498/wjp.v9.i7.99]
Akihiro Shiina, Division of Medical Treatment and Rehabilitation, Chiba University Center for Forensic Mental Health, Chiba 2608670, Japan
Aiko Sato, Masaomi Iyo, Department of Psychiatry, Chiba University Graduate School of Medicine, Chiba 2608670, Japan
Chiyo Fujii, Department of Community Mental Health and Law, National Institute of Mental Health, Kodaira-shi 1878552, Japan
Author contributions: Shiin A, Sato A, Iyo M, and Fujii C designed the research; Shiina A and Fujii C performed the research; Shiina A and Fujii C analyzed the data; Shiina A wrote the paper.
Supported bya grant awarded to the corresponding author from the Japanese Ministry of Health, Labour and Welfare as part of a research project entitled “ Research of the inclusive care for the psychiatric patients discharged from involuntary admission by the prefectural governor’ s order.” The authors declare no potential conflicts of interest concerning the research, authorship, and publication of this article.
Institutional review board statement: The study was reviewed and approved by Ethics Committee of the Graduate School of Medicine at Chiba University on June 6, 2016 (No. 237).
Informed consent statement: All responding hospitals expressed their informed consent about usage of the data they provided with resending the interview form anonymously.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Corresponding author: Akihiro Shiina, MD, MSc, PhD, Associate Professor, Research Associate Professor, Division of Medical Treatment and Rehabilitation, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan. shiina-akihiro@faculty.chiba-u.jp
Telephone: +81-43-2227171
Received: May 24, 2019 Peer-review started: May 27, 2019 First decision: August 2, 2019 Revised: August 16, 2019 Accepted: October 14, 2019 Article in press: October 14, 2019 Published online: November 19, 2019 Processing time: 179 Days and 4.9 Hours
ARTICLE HIGHLIGHTS
Research background
In Japan, patients with mental disorder having a risk for harming self or others are hospitalized by the prefectural governor’s order.
Research motivation
We have to know the outcome of patients who were hospitalized involuntarily.
Research objective
To clarify the performance and outcome of the scheme of involuntary hospitalization by the prefectural governor’s order.
Research methods
Retrospective cohort by examining medical record of hospitals accepting involuntary hospitalization.
Research results
A total of 394 subjects were examined. Approximately a fourth at 1 year, and a third at 2 years after the census had unknown prognosis. Approximately a third was identified as good prognosis. Discussion with external specialists before discharge were associated with good prognosis.
Research conclusions
Psychiatric hospitals in Japan have limited ability to track the prognoses of patients who were hospitalized involuntarily by the prefectural governor’s order.
Research perspectives
Constructive discussion with external specialists before discharge is possible to improve the outcome of the patients with mental disorder. To confirm this hypothesis, a prospective cohort study is necessary.
