What is the role of gender in perceived coercion during psychiatric admission?

Objectives: This paper explores factors linking gender with increased perceived coercion, perceived negative pressures and procedural injustice during psychiatric admission.

Methods: We used validated tools to perform detailed assessments of 107 adult psychiatry inpatients admitted to acute psychiatry admission units at two general hospitals in Dublin, Ireland, between September 2017 and February 2020.

Results: Among female inpatients ( = 48), perceived coercion on admission was associated with younger age and involuntary status; perceived negative pressures were associated with younger age, involuntary status, seclusion, and positive symptoms of schizophrenia; and procedural injustice was associated with younger age, involuntary status, fewer negative symptoms of schizophrenia, and cognitive impairment.

Seclusion, Restraint, Therapeutic Alliance, and Legal Admission Status: What Really Matters?

Objective: To determine the relationships, if any, between use of seclusion and restraint and factors such as demographic parameters, diagnosis, legal admission status (voluntary or involuntary), symptoms, cognitive function, global functioning, therapeutic alliance, attitudes toward medication, and insight, among psychiatry inpatients in Ireland.

Methods: We used validated tools to perform detailed assessments of 107 adult psychiatry inpatients admitted to acute psychiatry units at 2 general hospitals in Dublin, Ireland over a 30-month period, between September 2017 and February 2020.

Results: The most common diagnoses in our sample were affective disorders (46.

The Impact of COVID-19 on Burnout, Psychological Well-being, and Work Satisfaction in Psychiatry Trainees in Ireland.

Objective: Prior to the pandemic, trainee doctors were at higher risk of psychological ill health. There is limited evidence measuring the impact of COVID-19 on psychiatry trainees. This study evaluates levels of burnout, work satisfaction, and psychological well-being in psychiatry junior doctors in Ireland and identifies potential contributing factors.

The association between objective necessity for involuntary treatment as measured during admission, legal admission status and clinical factors in an inpatient psychiatry setting.

Involuntary psychiatric admission is a common feature of mental health services around the world, but there is limited research about tools to support clinical assessment of objective necessity for compulsory care. Our study aimed to determine the relationships between objective necessity for involuntary treatment as measured by the Compulsory Treatment Checklist (CTC), legal admission status (voluntary or involuntary) and various clinical parameters (e.g.

'The medical gaze': Foucault, anthropology and contemporary psychiatry in Ireland.

Michel Foucault developed the concept of 'the medical gaze', describing how doctors fit a patient's story into a 'biomedical paradigm, filtering out what is deemed as irrelevant material' (Misselbrook, 2013). Doctors are perceived within this model to focus on selecting the biomedical elements of patients' problems only, filtering out all other elements of a person's life story, but this paper argues that in the subspecialty of psychiatry, this is not the case, and such a filter is not so easily applied.

The association between perceived coercion on admission and formal coercive practices in an inpatient psychiatric setting.

Involuntary care is a feature of mental health services around the world. In addition to involuntary admission and treatment, specific coercive practices include seclusion and physical restraint. Our study aimed to determine the relationships, if any, between these practices and perceived coercion on admission among psychiatry inpatients in Ireland, as well as any relationships between perceived coercion on admission and variables such as age, gender and diagnosis.

A comprehensive regional neurochemical theory in depression: a protocol for the systematic review and meta-analysis of 1H-MRS studies in major depressive disorder.

Background: Magnetic resonance spectroscopy (MRS) is a non-invasive analytical technique that investigates the presence and concentrations of brain metabolites. In the context of major depressive disorder (MDD), MRS has revealed regional biochemical changes in GABA, glutamate, and choline across different brain compartments. Technical and methodological advances in MRS data acquisition, in particular proton-based H-MRS, have resulted in a significant increase in the incidence of reports utilizing the technique for psychiatric disorder research and diagnosis.

Dr Eveleen O'Brien (1901-1981).

Dr Eveleen O'Brien (1901-1981) was a leading figure in Irish asylum medicine, with a particular interest in the care of patients suffering from epilepsy and the crossover between neurology and psychiatry. From 1933 to 1966, O'Brien worked in Grangegorman Mental Hospital. She was appointed Governor of the Central Mental Hospital, Dundrum in January 1968 and remained in this position until 1971.