A study on the coercive experience of involuntarily hospitalized adolescents with mental disorders
10.12026/j.issn.1001-8565.2025.02.14
- VernacularTitle:非自愿住院青少年精神障碍患者胁迫体验的研究
- Author:
Lingyu LI
1
;
Xinyi LIU
1
;
Jiawei SHI
1
;
Gen CHENG
2
;
Haiou ZOU
1
Author Information
1. School of Nursing， Chinese Academy of Medical Sciences， Peking Union Medical College， Beijing 100144， China
2. Department of Nursing， Beijing Anding Hospital， Capital Medical University， Beijing 100088， China
- Publication Type:Journal Article
- Keywords:
involuntary hospitalization;
coercive experience;
mental disorder;
adolescent;
qualitative study
- From:
Chinese Medical Ethics
2025;38(2):232-240
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the coercive experience of involuntarily hospitalized adolescents with mental disorders during the admission process and hospitalization， providing references for formulating targeted nursing interventions. MethodsSemi-structured interviews were conducted with 15 involuntarily hospitalized adolescents with mental disorders selected from October to December 2023， and the themes were summarized and extracted by content analysis. ResultsA total of 3 themes and 10 sub-themes were extracted， which were used to elaborate the essential contents， causes， and improvement methods of coercive experience. These encompassed the multi-dimensional content of coercive experience （complex emotional experience， different physical sensations， and contradictory cognitive evaluation）， the multi-faceted causes of coercive experience （insufficient personal preparation， inadequate parental communication， and strict medical management system）， as well as the phased improvement of coercive experience （adequate communication before hospitalization， patient notification before coercive intervention， respecting for demands during coercive intervention， and comforting explanation after coercive intervention）. ConclusionThe essential content of the coercive experience of involuntarily hospitalized adolescents with mental disorders is complex and has various causes， which require cooperation from multiple parties to improve. Therefore， parents should respect the expression of their children’s self-will， and medical staff should respect patients’ autonomy， establishing a protection-constrained doctor-patient relationship model and collaborating to reduce the use of coercive interventions， to improve the overall medical satisfaction of adolescents with mental disorders.
