Background: In England, rates of involuntary admissions increased in subgroups of patients. It is unknown whether this is true in other European countries. Aims: To establish whether the increase in emergency commitments was uniform across subgroups of patients and dangerousness criteria used to justify commitment in The Netherlands. Method: National data on all commitments in the period 2000-2004. Results: Commitments increased from 40.2 to 46.5 (16%) per 100,000 inhabitants. Controlling for population changes in age and sex, relatively large increases were found in patients over 50 years (25-40% increase), in patients with dementia (59%), 'other organic mental disorders' (40%) and substance abuse (36%). 'Arousing aggression', increased most strongly as a dangerousness criterion for commitment (30%). Conclusion: Changing patterns of commitments in The Netherlands and England might indicate a wider European shift in diagnoses and reasons for admission of committed patients.

Age Factors, Aged, Amnestic, Cognitive Disorders, Commitment, Commitment of Mentally Ill, Cross-Cultural Comparison, Dangerous Behavior, Dangerousness criteria, Delirium, Dementia, Emergency Services, Emergency involuntary admission, England, Epidemiology, Female, Humans, Mental Disorders, Middle Aged, Netherlands, Psychiatric, Substance-Related Disorders, aggression, article, dementia, emergency care, involuntary commitment, male, organic psychosyndrome, substance abuse,
International Journal of Law and Psychiatry
Erasmus MC: University Medical Center Rotterdam

Mulder, C.L, Uitenbroek, D, Broer, J, Lendemeijer, B, van Veldhuizen, J.R, van Tilburg, W, … Wierdsma, A.I. (2008). Changing patterns in emergency involuntary admissions in the Netherlands in the period 2000-2004. International Journal of Law and Psychiatry, 31(4), 331–336. doi:10.1016/j.ijlp.2008.06.007