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Voluntary admissions for patients with schizophrenia: A systematic review and meta-analysis
Yang,Yuan1,2; Li,Wen1; Lok,Ka In1; Zhang,Qinge3; Hong,Liu4,5; Ungvari,Gabor S.6,7; Bressington,Daniel T.8; Cheung,Teris8; Xiang,Yu Tao1
Source PublicationAsian Journal of Psychiatry

Aims: Voluntary admission rates of schizophrenia vary widely across studies. In order to make the topic be informed by evidence, it is important to have accurate estimates. This meta-analysis examined the worldwide prevalence of voluntary admissions for patients with schizophrenia. Method: PubMed, EMBASE, PsycINFO, the Cochrane Library, Web of Science and Medline databases were systematically searched, from their commencement date until 19th November 2018. Meta-analysis of included studies was performed using the random-effects model. Results: Thirty-five studies with 134,100 schizophrenia patients were included. The overall voluntary admission rate of schizophrenia was 61.9 % (95 %CI: 52.3 %–70.7 %), while the involuntary rate was 43.0 % (95 %CI: 34.8 %–51.7 %). Subgroup analyses revealed that patients in Europe had significantly higher voluntary admission rates, while their North American counterparts were more likely admitted involuntarily. Papers published prior to 2008 reported higher involuntary admission rates. Meta-regression analyses showed that higher male percentage and higher study quality were significantly associated with higher voluntary admission rate. Conclusion: Although the worldwide prevalence of voluntary admissions was higher than that of involuntary admissions, the latter was common for schizophrenia. With the continuing liberalization of mental health laws broadening community-based psychiatric services, the rate of voluntary psychiatric admissions is expected to further increase over time.

KeywordMeta-analysis Schizophrenia Voluntary Admission
URLView the original
Indexed BySCIE
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000528851200019
Scopus ID2-s2.0-85077084447
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Cited Times [WOS]:1   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorXiang,Yu Tao
Affiliation1.Unit of Psychiatry,Institute of Translational Medicine,Faculty of Health Sciences,University of Macau,Macao
2.Department of Psychiatry,Southern Medical University Nanfang Hospital,China
3.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders,Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection,Capital Medical University,Beijing,China
4.Department of Psychiatry and Mental Health,Guangdong Medical University,China
5.Department of Psychiatry,Shunde WuZhongpei Memorial Hospital,Foshan,China
6.University of Notre Dame Australia,Fremantle,Australia
7.Division of Psychiatry,School of Medicine,University of Western Australia,Perth,Australia
8.School of Nursing,Hong Kong Polytechnic University,Hong Kong
First Author AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Yang,Yuan,Li,Wen,Lok,Ka In,et al. Voluntary admissions for patients with schizophrenia: A systematic review and meta-analysis[J]. Asian Journal of Psychiatry,2020,48.
APA Yang,Yuan,Li,Wen,Lok,Ka In,Zhang,Qinge,Hong,Liu,Ungvari,Gabor S.,Bressington,Daniel T.,Cheung,Teris,&Xiang,Yu Tao.(2020).Voluntary admissions for patients with schizophrenia: A systematic review and meta-analysis.Asian Journal of Psychiatry,48.
MLA Yang,Yuan,et al."Voluntary admissions for patients with schizophrenia: A systematic review and meta-analysis".Asian Journal of Psychiatry 48(2020).
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