A 2-year follow-up of involuntary admission’s influence upon adherence and outcome in first-episode psychosis

  1. S. Opjordsmoen1,
  2. S. Friis1,
  3. I. Melle1,
  4. U. Haahr2,
  5. J. O. Johannessen3,
  6. T. K. Larsen3,4,
  7. J. I. Røssberg1,
  8. B. R. Rund5,
  9. E. Simonsen6,
  10. P. Vaglum7,
  11. T. H. McGlashan8

Article first published online: 19 JAN 2010

DOI: 10.1111/j.1600-0447.2009.01536.x

Issue

Acta Psychiatrica Scandinavica

Acta Psychiatrica Scandinavica

Volume 121, Issue 5, pages 371–376, May 2010

Additional Information

How to Cite

Opjordsmoen, S., Friis, S., Melle, I., Haahr, U., Johannessen, J. O., Larsen, T. K., Røssberg, J. I., Rund, B. R., Simonsen, E., Vaglum, P. and McGlashan, T. H. (2010), A 2-year follow-up of involuntary admission’s influence upon adherence and outcome in first-episode psychosis. Acta Psychiatrica Scandinavica, 121: 371–376. doi: 10.1111/j.1600-0447.2009.01536.x

Author Information

  1. 1

    Department of Psychiatry, Oslo University Hospital, Ullevål and Institute of Psychiatry, University of Oslo, Oslo, Norway

  2. 2

    Early Psychosis Intervention Center and University of Copenhagen, Zealand Region Psychiatry Roskilde, Roskilde, Denmark

  3. 3

    Stavanger University Hospital, Psychiatric Clinic, Stavanger, Norway

  4. 4

    Department of Clinical Medicine, Section Psychiatry, University of Bergen, Bergen, Norway

  5. 5

    Asker and Bærum Hospital Trust and Department of Psychology, University of Oslo, Oslo, Norway

  6. 6

    Psychiatric Research Unit and University of Copenhagen, Zealand Region Psychiatry Roskilde, Roskilde, Denmark

  7. 7

    Department of Behavioural Sciences in Medicine, University of Oslo, Oslo, Norway

  8. 8

    Department of Psychiatry, Yale University, New Haven, CT, USA

*Stein Opjordsmoen, Department of Psychiatry, Oslo University Hospital, Ullevål, Kirkevn, 166 Building 20, 0407 Oslo, Norway. E-mail: o.s.e.ilner@medisin.uio.no

Publication History

  1. Issue published online: 13 APR 2010
  2. Article first published online: 19 JAN 2010
  3. Accepted for publication December 21, 2009

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Keywords:

  • first episode;
  • coercion;
  • compliance;
  • psychopathology;
  • outcome

Opjordsmoen S, Friis S, Melle I, Haahr U, Johannessen JO, Larsen TK, Røssberg JI, Rund BR, Simonsen E, Vaglum P, McGlashan TH. A 2-year follow-up of involuntary admission’s influence upon adherence and outcome in first-episode psychosis.

Objective:  To see, if voluntary admission for treatment in first-episode psychosis results in better adherence to treatment and more favourable outcome than involuntary admission.

Method:  We compared consecutively first-admitted, hospitalised patients from a voluntary (n = 91) with an involuntary (n = 126) group as to psychopathology and functioning using Positive and Negative Syndrome Scale and Global Assessment of Functioning Scales at baseline, after 3 months and at 2 year follow-up. Moreover, duration of supportive psychotherapy, medication and number of hospitalisations during the 2 years were measured.

Results:  More women than men were admitted involuntarily. Voluntary patients had less psychopathology and better functioning than involuntary patients at baseline. No significant difference as to duration of psychotherapy and medication between groups was found. No significant difference was found as to psychopathology and functioning between voluntarily and involuntarily admitted patients at follow-up.

Conclusion:  Legal admission status per se did not seem to influence treatment adherence and outcome.

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