Implementation of the guidelines on the prevention of violence and coercion: pre-post analysis of the randomized controlled PreVCo study

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This study examines the extent to which a structured implementation of guidelines for the prevention of coercion leads to an improvement in guideline-compliant work and the reduction of coercion in routine clinical practice. This is a secondary analysis of the shift of outcomes in the PreVCo study, which was conducted on 55 psychiatric wards throughout Germany. The number of coercive measures decreased significantly during the observation period. The degree of implementation of the guidelines increased significantly. This was achieved without an increase in aggressive assaults. The structured implementation of guideline-compliant work is possible in routine operations on psychiatric wards.