Olajide, Kike, Tyrer, Peter, Singh, Swaran P., Burns, Tom, Rugkåsa, Jorun, Thana, Lavanya, Paul, Moli, Islam, Zoebia and Crawford, Mike J. (2016) Likelihood and predictors of detention in patients with personality disorder compared with other mental disorders : a retrospective, quantitative study of Mental Health Act assessments. Personality and Mental Health, 10 (3). pp. 191-204. doi:10.1002/pmh.1332 ISSN 1932-8621.

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Abstract

Background:
The UK guidelines on the treatment of personality disorder recommend avoiding compulsory treatment except in extreme situations. Little is known about how often patients with personality disorder are detained or how this compares with the treatment of other mental disorders.

Objectives:
Our aim is to test the hypothesis that people with personality disorder are infrequently detained under the Mental Health Act (MHA) and that risk factors associated with detention are the same as those for people with other mental disorders.

Method:
We used a retrospective, quantitative study of MHA assessments.

Results:
Of the 2 087 assessments undertaken, 204 (9.8%) patients had a diagnosis of personality disorder; 40.7% of assessments in the personality disorder group resulted in detention, as did 69.7% of patients with other mental disorders. A higher proportion of people with personality disorder received no intervention following assessment compared with those with other mental disorders (20.6% vs. 4.7%, p < 0.001). Study centre and a history of admission were risk factors for detention in both groups. Risk was a predictor of detention in those with other mental disorders.

Conclusions:
Detention rates in patients with personality disorder are lower than those for other disorders but are still substantial. Risk factors for detention in patients with personality disorder differ from those with other mental disorders.

Item Type:	Journal Article
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title:	Personality and Mental Health
Publisher:	John Wiley & Sons Ltd.
ISSN:	1932-8621
Official Date:	August 2016
Dates:	Date Event August 2016 Published 16 March 2016 Available 10 December 2015 Accepted 3 October 2015 Submitted
Volume:	10
Number:	3
Page Range:	pp. 191-204
DOI:	10.1002/pmh.1332
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access

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