Mental health laws that require dangerousness for involuntary admission may delay the initial treatment of schizophrenia Large, M. en_US Nielssen, O. en_US Ryan, C. en_US Hayes, R. en_US 2021-11-25T13:08:04Z 2021-11-25T13:08:04Z 2008 en_US
dc.description.abstract Introduction A long duration of untreated psychosis (DUP) is associated with a worse prognosis, an increased risk of suicide and may be linked to serious violence. Mental health laws that require patients to be dangerous to themselves or to others before they can receive involuntary psychiatric treatment may make it more difficult to treat patients in their first episode of psychosis. Methods The mean and median DUP reported in studies of schizophrenia related psychoses were examined. A comparison was made between the DUP reported from jurisdictions that had an obligatory dangerousness criterion (ODC) and those with other criteria for involuntary treatment. Results The average mean DUP in samples from jurisdictions with an ODC was 79.5 weeks, but was only 55.6 weeks in those jurisdictions that did not have an ODC (P < 0.007). Conclusions Mental health laws that require the patient to be assessed as dangerous before they can receive involuntary treatment are associated with significantly longer DUP. As reducing DUP is an intervention that can improve the prognosis of schizophrenia, this finding suggests that mental health laws should be amended to allow treatment on grounds other than dangerousness, at least in the crucial first episode of psychosis. en_US
dc.identifier.issn 0933-7954 en_US
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri en_US
dc.source Legacy MARC en_US
dc.title Mental health laws that require dangerousness for involuntary admission may delay the initial treatment of schizophrenia en_US
dc.type Journal Article en
dcterms.accessRights metadata only access
dspace.entity.type Publication en_US
unsw.identifier.doiPublisher en_US
unsw.relation.faculty Medicine & Health
unsw.relation.ispartofjournal Social Psychiatry and Psychiatric Epidemiology en_US
unsw.relation.ispartofpagefrompageto 251-256 en_US
unsw.relation.ispartofvolume 43 en_US
unsw.relation.originalPublicationAffiliation Large, M. en_US
unsw.relation.originalPublicationAffiliation Nielssen, O., Psychiatry, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Ryan, C. en_US
unsw.relation.originalPublicationAffiliation Hayes, R. en_US School of Psychiatry *
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