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dc.contributor.authorThomsen, CTen_US
dc.contributor.authorBenros, MEen_US
dc.contributor.authorHastrup, LHen_US
dc.contributor.authorAndersen, PKen_US
dc.contributor.authorGiacco, Den_US
dc.contributor.authorNordentoft, Men_US
dc.date.accessioned2017-01-24T10:29:37Z
dc.date.issued2016-09-28en_US
dc.date.submitted2017-01-20T12:48:56.391Z
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/18922
dc.description.abstractINTRODUCTION: Patient-controlled hospital admission for individuals with severe mental disorders is a novel approach in mental healthcare. Patients can admit themselves to a hospital unit for a short stay without being assessed by a psychiatrist or contacting the emergency department. Previous studies assessing the outcomes of patient-controlled hospital admission found trends towards reduction in the use of coercive measures and length of hospital stay; however, these studies have methodological shortcomings and small sample sizes. Larger studies are needed to estimate the effect of patient-controlled hospital admission on the use of coercion and of healthcare services. DESIGN AND METHODS: We aim to recruit at least 315 patients who are offered a contract for patient-controlled hospital admissions in eight different hospitals in Denmark. Patients will be followed-up for at least 1 year to compare the use of coercive measures and of healthcare services, the use of medications and suicidal behaviour. Descriptive statistics will be used to investigate hospitalisations, global assessment of functioning (GAF) and patient satisfaction with treatment. To minimise selection bias, we will match individuals using patient-controlled hospital admission and controls with a 1:5 ratio via a propensity score based on the following factors: sex, age group, primary diagnosis, substance abuse as secondary diagnosis, coercion, number of psychiatric bed days, psychiatric history, urbanity and suicidal behaviour. Additionally, a historical control study will be undertaken in which patients serve as their own control group prior to index date. ETHICS AND DISSEMINATION: The study has been approved by The Danish Health and Medicines Authority (j.nr.: 3-3013-934/1/) and by The Danish Data Protection Agency (j.nr.: 2012-58-0004). The study was categorised as a register study by The Danish Health Research Ethics Committee and therefore no further approval was needed (j.nr.: H-2-2014-FSP70). Findings will be disseminated through scientific publications, presentations and in a PhD thesis.en_US
dc.description.sponsorshipDanish Ministry of Health and Mental Health Centre, Frederiksberg.en_US
dc.format.extente013088 - ?en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofBMJ Openen_US
dc.rightsThis is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http:// creativecommons.org/licenses/by-nc/4.0/
dc.subjectEPIDEMIOLOGYen_US
dc.subjectMENTAL HEALTHen_US
dc.titlePatient-controlled hospital admission for patients with severe mental disorders: study protocol for a nationwide prospective multicentre study.en_US
dc.typeArticle
dc.rights.holder(c) The Authors, 2016
dc.identifier.doi10.1136/bmjopen-2016-013088en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/27683519en_US
pubs.issue9en_US
pubs.notesNo embargoen_US
pubs.publication-statusPublished onlineen_US
pubs.volume6en_US


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