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Factors affecting the practice of seclusion in an acute mental health service in Southland, New Zealand

  • Stephen Tyrer (a1), Jay Beckley (a2), Digvijay Goel (a2), Brian Dennis (a2) and Brenda Martin (a2)...
Abstract
Aims and method

This study examined the frequency of seclusion intervention and factors associated with its use in the acute general adult psychiatric ward serving the Southland area of New Zealand. Details of the use of seclusion and relevant demographic data were collected over a 12-month period in 2007–2008.

Results

During the study period there were 30 seclusion episodes involving 23 patients. The median duration of seclusion was 17 hours. The duration of seclusion was found to be inversely related to the treatment received during the period of isolation. Most patients under seclusion had a diagnosis of psychosis, and the nature of this was directly related to the Mental Health Act order applied.

Clinical implications

The duration of seclusion in this study is long but compares with a similar study from elsewhere in New Zealand. The duration of treatment while in seclusion could be reduced if optimal treatment is given.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Stephen Tyrer (stephen.tyrer@ncl.ac.uk)
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Declaration of interest

None.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Factors affecting the practice of seclusion in an acute mental health service in Southland, New Zealand

  • Stephen Tyrer (a1), Jay Beckley (a2), Digvijay Goel (a2), Brian Dennis (a2) and Brenda Martin (a2)...
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