06 Oct What can we learn from registries of violent incidents and coercive measures in clinical psychiatry?
What can we learn from registries of violent incidents and coercive measures in clinical psychiatry?
Paper presentation98Tilman Steinert, Zentrum für Psychiatrie Südwürttemberg, Germany
Jurriaanse ZaalThu 14:00 - 15:30
Background: Registries for coercive measures, and, to a smaller extent, for violent incidents, have been established in several European countries and in the US. In the German State of Baden-Wuerttemberg, such a registry based on Mental Health Law is available since 2015.
Objectives: To answer relevant research questions from these large-scale observational data.
Methods: Most relevant outcomes are percentage of cases subjected to any kind of coercion or showing aggressive behaviour, respectively, and mean cumulated duration of coercive measures per case. Data of measures can be assigned to cases by generating identical pseudonyms.
Results: We report on a series of published and still unpublished studies on violence and coercion, drawing on these data.
Conclusions: Registries are a powerful tool for clinical evaluation and research besides of high quality RCTs. Challenges are finding relevant research questions and avoiding jumping to unjustified causal conclusions.