<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hirsch, Sophie</style></author><author><style face="normal" font="default" size="100%">Baumgardt, Johanna</style></author><author><style face="normal" font="default" size="100%">Bechdolf, Andreas</style></author><author><style face="normal" font="default" size="100%">Buhling-Schindowski, Felix</style></author><author><style face="normal" font="default" size="100%">Cole, Celline</style></author><author><style face="normal" font="default" size="100%">Flammer, Erich</style></author><author><style face="normal" font="default" size="100%">Mahler, Lieselotte</style></author><author><style face="normal" font="default" size="100%">Muche, Rainer</style></author><author><style face="normal" font="default" size="100%">Sauter, Dorothea</style></author><author><style face="normal" font="default" size="100%">Vandamme, Angelika</style></author><author><style face="normal" font="default" size="100%">Steinert, Tilman</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Implementation of guidelines on prevention of coercion and violence: baseline data of the randomized controlled PreVCo study</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">evidence based care</style></keyword><keyword><style  face="normal" font="default" size="100%">guidelines</style></keyword><keyword><style  face="normal" font="default" size="100%">implementation</style></keyword><keyword><style  face="normal" font="default" size="100%">mental heath</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraint</style></keyword><keyword><style  face="normal" font="default" size="100%">Seclusion</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year></dates><volume><style face="normal" font="default" size="100%">14</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;The PreVCo study examines whether a structured, operationalized implementation of guidelines to prevent coercion actually leads to fewer coercive measures on psychiatric wards. It is known from the literature that rates of coercive measures differ greatly between hospitals within a country. Studies on that topic also showed large Hawthorne effects. Therefore, it is important to collect valid baseline data for the comparison of similar wards and controlling for observer effects.&lt;/p&gt;</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hirsch, Sophie</style></author><author><style face="normal" font="default" size="100%">Baumgardt, Johanna</style></author><author><style face="normal" font="default" size="100%">Bechdolf, Andreas</style></author><author><style face="normal" font="default" size="100%">Buhling-Schindowski, Felix</style></author><author><style face="normal" font="default" size="100%">Cole, Celline</style></author><author><style face="normal" font="default" size="100%">Flammer, Erich</style></author><author><style face="normal" font="default" size="100%">Mahler, Lieselotte</style></author><author><style face="normal" font="default" size="100%">Muche, Rainer</style></author><author><style face="normal" font="default" size="100%">Sauter, Dorothea</style></author><author><style face="normal" font="default" size="100%">Vandamme, Angelika</style></author><author><style face="normal" font="default" size="100%">Steinert, Tilman</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Implementation of guidelines on prevention of coercion and violence: baseline data of the randomized controlled PreVCo study</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">evidence based care</style></keyword><keyword><style  face="normal" font="default" size="100%">guidelines</style></keyword><keyword><style  face="normal" font="default" size="100%">implementation</style></keyword><keyword><style  face="normal" font="default" size="100%">mental heath</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraint</style></keyword><keyword><style  face="normal" font="default" size="100%">Seclusion</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year></dates><volume><style face="normal" font="default" size="100%">14</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;The PreVCo study examines whether a structured, operationalized implementation of guidelines to prevent coercion actually leads to fewer coercive measures on psychiatric wards. It is known from the literature that rates of coercive measures differ greatly between hospitals within a country. Studies on that topic also showed large Hawthorne effects. Therefore, it is important to collect valid baseline data for the comparison of similar wards and controlling for observer effects.&lt;/p&gt;</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Steinert, Tilman</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Using coercion in mental disorders or risking the patient’s death? An analysis of the protocols of a clinical ethics committee and a derived decision algorithm</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Medical Ethics</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Death</style></keyword><keyword><style  face="normal" font="default" size="100%">Disabled Persons</style></keyword><keyword><style  face="normal" font="default" size="100%">Ethics- Medical</style></keyword><keyword><style  face="normal" font="default" size="100%">human rights</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://jme.bmj.com/content/early/2023/11/23/jme-2023-109578</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;While principle-based ethics is well known and widely accepted in psychiatry, much less is known about how decisions are made in clinical practice, which case scenarios exist, and which challenges exist for decision-making. Protocols of the central ethics committee responsible for four psychiatric hospitals over 7&amp;thinsp;years (N=17) were analysed. While four cases concerned suicide risk in the case of intended hospital discharge, the vast majority (N=13) concerned questions of whether the responsible physician should or should not initiate the use of coercion in patients lacking mental capacity. The committee&amp;rsquo;s recommendations were non-uniform. Forced feeding and electroconvulsive therapy were endorsed in each one case. In two cases of intermittent loss of capacity due to heavy drinking or intermittent severe suicidal ideation, a self-binding contract was recommended and the use of coercion was considered as justified for a very limited period. In all other cases, most of which involved involuntary treatment, the use of coercion was not endorsed. Without exception, the recommendations were accepted with relief by the physicians and their treatment teams, who feared liability in the event of harm to the patient. Eventually, a model of a decision algorithm was derived from the ethical arguments in the protocols.&lt;/p&gt;</style></abstract></record></records></xml>