Indian Journal of PsychiatryIndian Journal of Psychiatry
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Year : 2016  |  Volume : 58  |  Issue : 6  |  Page : 210-220

Perceived coercion in persons with mental disorder in India: A cross-sectional study

1 Department of Psychiatry, Dharwad Institute of Mental Health and Neurosciences, Dharwad, India
2 Co-ordinator, Centre for Mental Health Law and Policy, Indian Law Society, Pune, India
3 Honorary Professor (Bangor University and Mysore Medical College and Research Institute, India), Consultant Psychiatrist (BCULHB), Centre for Mental Health and Society, N Wales, United Kingdom
4 Head of research GGnet Community mental Health Centre, PO Box 2003, 7230 GC Warnsveld, the Netherlands and main researcher of the Dutch Information Center for Coercive Measures, Stichting Benchmark GGZ, Bilthoven, Netherlands
5 Department of Psychiatry, National Institute of Mental Health & Neurosciences (NIMHANS), Bengaluru, India
6 Professor of Biology and Society, Vrije Universiteit, Amsterdam, Netherlands

Correspondence Address:
B N Raveesh
Dharwad Institute of Mental Health and Neurosciences, Dharwad - 580 008, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5545.196846

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Background: Little is known about how patients in India perceive coercion in psychiatric care. Aims: To assess perceived coercion in persons with mental disorder admitted involuntarily and correlate with sociodemographic factors and illness variables. Materials and Methods: We administered the short MacArthur Admission Experience Interview Questionnaire to all consecutive involuntary psychiatric patients admitted in 2014 in Mysore, India. Multivariate linear regression was used. Results: Three hundred and one patients participated. "Perceived coercion" subscale scores increased with female gender, nuclear family status, Muslim and Christian religion, lower income, and depressive disorder. It decreased with former coercion, forensic history, and longer illness duration. Drug use increased total scores; the extended family item decreased them. "Negative pressure" increased with male gender, extended family, lower income, forensic history, and longer illness duration. Conclusions: The study shows perceived coercion is a reality in India. Levels of perceived coercion and the populations affected are similar to high-income countries.



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