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Article : Une étude révèle qu'il n'y a aucun avantage à enfermer les patients de santé mentale

le 22 août 2016

[RNZ] Selon cette étude réalisée sur 145 000 patients et publiée dans le Lancet Psychiatrie, une politique de portes ouvertes dans les établissements de santé mentale n'augmenterait pas le taux de suicide ni les sorties sans autorisation (article en anglais)

The study compared patients with the same severity of symptoms in four hospitals in Germany which had locked doors, and 16 which did not.

There was no difference in the rates of patients leaving without permission or hurting themselves, it found.

Oxford University psychiatry professor Tom Burns, whose commentary on the study was also published in The Lancet , told Nine To Noon an open-door policy could be preferable for those with depression, anxiety or psychosis, as it promoted a better therapeutic atmosphere and more positive health outcomes.

His work with Otago law professor John Dawson had also shown that patients being discharged with community treatment orders were just as likely to be re-admitted as those without, Mr Burns said.
 
Good psychiatry relied on staff engaging with patients, but locking hospital doors altered the atmosphere and experience for staff, patients and visitors.

Care had become over-formalised in a risk-averse system, Mr Burns said.

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Source RNZ