Opplevd krenkelse i innleggelsessituasjonen til akuttpsykiatrisk avdeling og assosiasjoner til negative hendelser samt kjønnsforskjeller

Abstract

The aim of the study is to increase knowledge and decrease humiliations in the medical encounter. Humiliations are associated with violence, inflicts on the treatment compliance, and some psychiatric diagnosis. Associations between self-rated humiliation and socio-demography and situations that occurred in the admission process to a psychiatric emergency unit were explored. We also looked for gender differences in the reporting of perceived humiliation. The patients ( N = 186) self-rated humiliation on a scale from 1 to 10 (dichotomized by the mean value), and almost half of the sample was defined as humiliated. Associations between humiliation and being heard, expressed opinion, persuaded, threats, physical power, admission considered right and legal status were examined. Legal status, physical power and not heard were found to have the strongest association to humiliation. More men reported humiliation in all the examined situations compared to women. Patients admitted to psychiatry experience humiliation, and gender differences are reported. To decrease the perceived humiliation, admission routines should be individualized. In demanding situations, persuasion should be tried first. Use of police in the admission situation should be replaced by trained psychiatric personnel. Statements from patients on treatment choices and admission routines should be considered if patients are readmitted.