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Published Online: 2 October 2019

Voluntary and Involuntary Admissions for Severe Mental Illness in China: A Systematic Review and Meta-Analysis

Yuan Yang, Ph.D., Wen Li, M.D., Ph.D., Feng-Rong An, M.Med., Yuan-Yuan Wang, Ph.D., Gabor S. Ungvari, M.D., Ph.D., Lloyd Balbuena, Ph.D., and Yu-Tao Xiang, M.D., Ph.D. [email protected]Authors Info & Affiliations
Publication: Psychiatric Services
Volume 71, Number 1
https://doi.org/10.1176/appi.ps.201900106
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Abstract

Objective:

The aim of this systematic review and meta-analysis was to examine the prevalence of voluntary and involuntary psychiatric admissions for severe mental illness in China and explore their associated factors.

Methods:

The PubMed, Cochrane Library, PsycINFO, EMBASE, CNKI, CQVIP, and WanFang databases were systematically searched for the span since their inception to October 2018. Meta-analyses were conducted with the random-effects model.

Results:

Fourteen studies with 94,305 patients were included in the analyses. The voluntary and involuntary admission rates were 30.3% (95% confidence interval [CI]=18.06% to 46.23%) and 32.3% (95% CI=10.39% to 66.21%), respectively, for severe mental illness and 19.6% (95% CI=14.09% to 26.54%) and 44.3% (95% CI=5.98% to 90.88%), respectively, for schizophrenia. Meta-regression analyses found an increase in the voluntary admission rate between 1998 and 2018.

Conclusions:

The voluntary admission rate for severe mental illness has increased in China, whereas the involuntary admission rate has remained high, particularly for schizophrenia. Concerted efforts should be made to further decrease the rate of involuntary admissions.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 71 • Number 1 • January 01, 2020
Pages: 83 - 86
PubMed: 31575350

History

Received: 21 February 2019
Revision received: 4 June 2019
Accepted: 29 July 2019
Published online: 2 October 2019
Published in print: January 01, 2020

Keywords

  1. Patient rights
  2. Mental health systems/hospitals

Keywords

  1. China
  2. involuntary admission
  3. meta-analysis
  4. psychiatric
  5. voluntary admission

Authors

Details

Yuan Yang, Ph.D.
Unit of Psychiatry, Faculty of Health Sciences and Center for Cognition and Brain Sciences, University of Macau, Macao Special Administrative Region, China (Yang, Li, Xiang); Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brian Science and Brain-Inspired Intelligence, Guangdong, China (Yang); National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, and the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing (An); Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom (Wang); Department of Psychiatry, University of Notre Dame Australia, Fremantle, and Division of Psychiatry, School of Medicine, University of Western Australia, Perth (Ungvari); Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada (Balbuena).
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Wen Li, M.D., Ph.D.
Unit of Psychiatry, Faculty of Health Sciences and Center for Cognition and Brain Sciences, University of Macau, Macao Special Administrative Region, China (Yang, Li, Xiang); Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brian Science and Brain-Inspired Intelligence, Guangdong, China (Yang); National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, and the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing (An); Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom (Wang); Department of Psychiatry, University of Notre Dame Australia, Fremantle, and Division of Psychiatry, School of Medicine, University of Western Australia, Perth (Ungvari); Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada (Balbuena).
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Feng-Rong An, M.Med.
Unit of Psychiatry, Faculty of Health Sciences and Center for Cognition and Brain Sciences, University of Macau, Macao Special Administrative Region, China (Yang, Li, Xiang); Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brian Science and Brain-Inspired Intelligence, Guangdong, China (Yang); National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, and the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing (An); Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom (Wang); Department of Psychiatry, University of Notre Dame Australia, Fremantle, and Division of Psychiatry, School of Medicine, University of Western Australia, Perth (Ungvari); Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada (Balbuena).
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Yuan-Yuan Wang, Ph.D.
Unit of Psychiatry, Faculty of Health Sciences and Center for Cognition and Brain Sciences, University of Macau, Macao Special Administrative Region, China (Yang, Li, Xiang); Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brian Science and Brain-Inspired Intelligence, Guangdong, China (Yang); National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, and the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing (An); Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom (Wang); Department of Psychiatry, University of Notre Dame Australia, Fremantle, and Division of Psychiatry, School of Medicine, University of Western Australia, Perth (Ungvari); Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada (Balbuena).
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Gabor S. Ungvari, M.D., Ph.D.
Unit of Psychiatry, Faculty of Health Sciences and Center for Cognition and Brain Sciences, University of Macau, Macao Special Administrative Region, China (Yang, Li, Xiang); Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brian Science and Brain-Inspired Intelligence, Guangdong, China (Yang); National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, and the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing (An); Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom (Wang); Department of Psychiatry, University of Notre Dame Australia, Fremantle, and Division of Psychiatry, School of Medicine, University of Western Australia, Perth (Ungvari); Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada (Balbuena).
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Lloyd Balbuena, Ph.D.
Unit of Psychiatry, Faculty of Health Sciences and Center for Cognition and Brain Sciences, University of Macau, Macao Special Administrative Region, China (Yang, Li, Xiang); Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brian Science and Brain-Inspired Intelligence, Guangdong, China (Yang); National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, and the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing (An); Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom (Wang); Department of Psychiatry, University of Notre Dame Australia, Fremantle, and Division of Psychiatry, School of Medicine, University of Western Australia, Perth (Ungvari); Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada (Balbuena).
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Yu-Tao Xiang, M.D., Ph.D. [email protected]
Unit of Psychiatry, Faculty of Health Sciences and Center for Cognition and Brain Sciences, University of Macau, Macao Special Administrative Region, China (Yang, Li, Xiang); Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brian Science and Brain-Inspired Intelligence, Guangdong, China (Yang); National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, and the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing (An); Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom (Wang); Department of Psychiatry, University of Notre Dame Australia, Fremantle, and Division of Psychiatry, School of Medicine, University of Western Australia, Perth (Ungvari); Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada (Balbuena).
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Notes

Send correspondence to Dr. Xiang ([email protected]).

Author Contributions

Dr. Yang, Dr. Li, Feng-Rong An, and Dr. Wang contributed equally to the work.

Funding Information

Beijing Municipal Administration of Hospitals’ Ascent Plan: DFL20151801
Universidade de Macauhttp://dx.doi.org/10.13039/501100004733: MYRG2015-00230-FHS, MYRG2016-00005-FHS
Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support: ZYLX201607
National Key Research & Development Program of China: 2016YFC1307200
The study was supported by the University of Macau (grants MYRG2015-00230-FHS and MYRG2016-00005-FHS), the National Key Research and Development Program of China (grant 2016YFC1307200), the Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support (grant ZYLX201607), and the Beijing Municipal Administration of Hospitals Ascent Plan (grant DFL20151801).

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