Involuntary hospitalization: an issue for the consultation-liaison psychiatrist |
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| Authors: | T N Wise R Berlin |
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| Affiliation: | 1. Department of Psychiatry, College of Medicine, University of Lagos, PMB 12003 Lagos, Nigeria;2. Department of Psychiatry, Lagos University Teaching Hospital, PMB 12003 Lagos, Nigeria;3. Federal Neuropsychiatry Hospital, Yaba, PMB 2003 Lagos, Nigeria;4. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada;5. Discipline of Psychiatry, The University of Adelaide, Adelaide Health and Medical Sciences Building, 57 North Terrace, Adelaide, SA 5000, Australia;1. Department of Psychiatry, Division of Forensic Psychiatry, Queen''s University, Kingston, Ontario, Canada;2. Institute of Psychiatry, WHO Collaborating Centre for Mental Health, Rawalpindi Medical College, Rawalpindi, Pakistan;3. Queen''s University, Kingston, Ontario, Canada;1. Directorate of Nursing, Therapies and Social Work, University Hospital of Psychiatry Zurich, Lenggstrasse 31, P.O. Box 363, 8032 Zurich, Switzerland;2. Department of Psychiatry, Psychotherapy and Psychosomatics, Centre for Acute Psychiatric Disorders, University Hospital of Psychiatry Zurich, Lenggstrasse 31, P.O. Box 363, 8032 Zurich, Switzerland;3. Department of Development and Research in Nursing, Therapies and Social Work, Psychiatric Hospitals of the University of Basel, Wilhelm Klein-Strasse 27, 4002 Basel, Switzerland;4. Chair of Social Networks, Department of Humanities, Social and Political Sciences, ETH Zurich, Weinbergstrasse 109, 8092 Zürich, Switzerland;5. Centers for Psychiatry Suedwuerttemberg, Clinic for Psychiatry and Psychotherapy I, University of Ulm, Weingartshofer Strasse 2, 88214 Ravensburg-Weißenau, Germany;6. Department of Psychiatry and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany;7. Department of Nursing Development, Private Clinic for Psychiatry and Psychotherapy Kilchberg, Alte Landstrasse 70, 8802 Kilchberg, Switzerland;8. Nursing and Social Education Research Unit, University of Berne, Psychiatric Services Berne, Bolligenstrasse 111, 3000 Bern 60, Switzerland |
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| Abstract: | Little has been written about the issue of involuntary hospitalization in consultation-liaison psychiatry. Nevertheless, patients frequently seen in medical and surgical settings may be judged to be a danger to themselves or others because of psychiatric disorders that cloud cognition, impair judgment, or modify insight, and judicial or administrative proceedings leading to involuntary commitment may be needed. The C-L psychiatrist will be the physician most knowledgeable about the concepts of involuntary hospitalization, competency and informed consent. Clinical examples illustrate issues that may arise. |
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