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.

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doi.org/10.1016/j.ijlp.2008.06.007, hdl.handle.net/1765/15263
International Journal of Law and Psychiatry
Erasmus MC: University Medical Center Rotterdam

Mulder, C.L, Uitenbroek, D, Broer, J, Lendemeijer, B.H.G.M, 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