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240703 r ||| eng |
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|a Konnyu, Kristin J.
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|a Protocols to reduce seclusion in inpatient mental health units
|h Elektronische Ressource
|c authors, Kristin Konnyu, McKenzie Quinn, Jennifer Primack, Katherine Lenger, James Rudolph, Thomas Trikalinos, Taylor Rickard, Htun Ja Mai, Ethan Balk, Eric Jutkowitz
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| 260 |
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|a Washington, DC
|b U.S. Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service
|c June 2023, 2023
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|a 1 PDF file (vii, 220 pages)
|b illustrations
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|a Quinn, McKenzie
|e [author]
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| 700 |
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|a Primack, Jennifer
|e [author]
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|a Lenger, Katherine Allison
|e [author]
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|a United States
|b Department of Veterans Affairs
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|a eng
|2 ISO 639-2
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|b NCBI
|a National Center for Biotechnology Information
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|a Evidence synthesis program
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|u https://www.ncbi.nlm.nih.gov/books/NBK599812
|3 Volltext
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|a 700
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|a In psychiatric inpatient settings, conflict behaviors such as patient aggression, agitation, and selfharm require immediate intervention to prevent physical and emotional injury to the patient, other patients, and staff. Seclusion is commonly used to manage conflict behaviors that place patients and staff at risk of immediate harm. Seclusion generally consists of involuntarily confining a patient alone in a restricted area until the patient's conflict behaviors subside. There is large variation in the use of seclusion across the United States (US). For example, 1 large study of psychiatric facilities in the US found seclusion was used for 0.3 per 1,000 patient hours; however, the interquartile range was wide (0.02 to 0.22). When these data were stratified by hospital type in unadjusted analyses in 2014, for-profit psychiatric hospitals used seclusion the least and Veteran Affairs (VA) hospitals used it the most (mean 0.1 [standard deviation (SD) 0.7] vs 0.4 [SD 0.8] per 1,000 patient hours)
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