Hospitalization in a psychiatric hospital on an involuntary basis: an analysis of the application in the Russian Federation (2011-2021)

Background. Psychiatrists are entrusted with direct participation in the hospitalization of persons with mentaldisorders in a medical organization providing psychiatric care in hospitals, regulated by the legislation (Law of theRussian Federation “On psychiatric care and guarantees of the rights of citizens in its provision” dated 02.07.1992No. 3185-1). conditions, involuntarily. This work is part of a comprehensive study aimed at identifying medicalproblems in the mental health of the population based on monitoring the activities of psychiatric services. Objective.To determine the features of the dynamics of the number, diagnostic groups and clinical and nosological structure ofmental disorders in the contingent of people involuntarily hospitalized in psychiatric hospitals in the country for theperiod 2011-2021. Materials and Methods. The data of the unified system of state statistical reports were used(industry reporting form No. 36 'Information on the contingents of the mentally ill”). Methods were used: clinical-epidemiological and statistical processing of the information received. Conclusion. Based on the results of theanalysis of the dynamics of the recorded number of the contingent and the clinical and nosological structure of mentaldisorders in people involuntarily hospitalized in psychiatric hospitals in the country for the period 2011-2021, asteady downward trend in involuntary hospitalization rates for all nosological groups of mental disorders wasestablished. There was a 44.3% reduction in the total number of patients hospitalized in a psychiatric hospital on aninvoluntary basis. A decrease of 45.9% in the number of persons placed in a psychiatric hospital on an involuntarybasis on the basis of a judge's decision was revealed. The values of indicators by federal districts had significantdifferences with an increase in their severity by 2021. The relevance of further monitoring of the activities of regionalpsychiatric services is substantiated. The data obtained as a result of analytical processing can be used in professionaltraining programs for medical personnel on the use of involuntary types of specialized assistance, prevention ofsocially dangerous actions of persons with mental disorders.