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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Keywords 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
Persistent URL,
Journal International Journal of Law and Psychiatry
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