Autori:
NECHITA Petronela, PADURARIU Manuela, BENEDIC Andreea, TURLIUC Serban, ANDREI Radu
Cuvinte cheie:
aggression, involuntary admission, mental disorder
Abstract:
Different currents of opinion have influenced legislation from many countries concerning
the psychiatric medical assistance, especially the involuntary admission of mentally ill
people. The danger criteria for mandatory admission give rise to a series of ethical
dilemmas, from which we mention also the one of danger anticipation. The long term
prediction that has as focal point the behavior in different circumstances proved to be
hard to evaluate. Manslaughter and suicide among patients with mental disorders in
many studies from USA, Europe, Asia, Canada and Australia, in the past 60 years, show
that mental illnesses play a major role concerning individual aggression. The objective of
this study followed an evaluation of the harm potential in patients admitted involuntarily.
Material and method: The studied lot included a number of 202 cases analyzed
retrospectively from their charts, patients admitted involuntarily during the period of
August 2002 – July 2012 in the University Hospital “Socola” Ia?i. The study is quantitative,
retrospective, and the data was taken from the charts of patients admitted involuntarily
according to the law of mental health and protection for people with psychiatric
disorders, Law 487/2002.
Results – The aggressive potential in patients involuntary admitted according to the
mental health law was discovered in 46,5 % (selfharm)
and 76,7 % (harm of others).
Conclusions – The aggression of mentally ill patients is frequently associated with a low
degree of disorder awareness and also with coercive admission inside the psychiatric
hospital. Among the psychiatric disorders, the aggressive potential is met especially in
patients having a diagnosis of “schizophrenia or other mental disorders”.