Publications by authors named "Sonja Moetteli"

People living with serious mental illness (SMI) experience physical health complications at disproportionate rates to people without an SMI. Unhealthy dietary intake and disordered eating behaviors are key driving factors. There is a lack of valid nutrition-risk screening tools targeted to mental health services, and typically used nutrition-risk screening tools are not suitable for mental health services.

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Psychiatric emergencies occur frequently in the community setting, e.g. the patient's home or public places.

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Background: Involuntary admissions can be detrimental for patients. Due to legal, ethical and clinical considerations, they are also challenging for referring physicians. Nevertheless, not much is known about the subjective perceptions of those who have to decide whether to conduct an involuntary admission or not.

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Background: Involuntary admission (IA) for psychiatric treatment is a massive restriction of human rights. Therefore, its execution is regulated by law. During executing IAs referring physicians find themselves in a dual role: support of patients in the recovery process but also safe-keeper of society.

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Background: In psychiatric treatment containment measures are used to de-escalate high-risk situations. These measures can be characterized by their immanent amount of coercion. Previous research could show that the attitudes towards different containment measures vary throughout countries.

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Article Synopsis
  • Involuntary admissions to psychiatric hospitals can benefit patients but also infringe on their autonomy, highlighting the need for less coercive alternatives.
  • This study analyzed the decision-making process of 107 physicians involved in referrals for involuntary admissions, noting the complexity and time-consuming nature of these consultations.
  • The findings revealed that clinical assessments and protective factors play significant roles in admissions, emphasizing the need for improved alternatives to minimize involuntary hospitalizations in high-risk situations.
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Aims Of The Study: In daily clinical work, coercion continues to be highly prevalent, with rates differing between countries and sometimes even within countries or between wards of the same hospital. Previous research found inconsistent characteristics of individuals who underwent coercive measures during psychiatric treatment. Furthermore, there continues to be a lack of knowledge on the clinical course of people after being involuntarily committed.

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