Table 3.
Clinician attitude on the use of coercive measure in clinical practice (modified Staff Attitude to Coercion Scale)
| Subscale | Question | n (%) |
|---|---|---|
| Coercion as offending subscale | Coercion could have been much reduced, giving more time and personal contact | 121 (64.0) |
| Scarce resources lead to more use of coercion | 103 (54.5) | |
| Coercion violates the patient’s integrity | 121 (64.0) | |
| Too much coercion is used in the treatment | 100 (52.9) | |
| Use of coercion can harm the therapeutic relationship | 125 (66.1) | |
| Use of coercion is a declaration of failure on the part of the mental health services | 84 (44.4) | |
| Coercion as care and security subscale | For security reasons, coercion must sometimes be used | 178 (94.2) |
| Coercion may represent care and protection | 187 (98.9) | |
| Use of coercion is necessary as protection in dangerous situations | 176 (93.1) | |
| For severely ill patients, coercion may represent safety | 187 (98.9) | |
| Coercion may prevent the development of a dangerous situation | 178 (94.2) | |
| Use of coercion is necessary toward dangerous and aggressive patients | 178 (94.2) | |
| Coercion as treatment subscale | Patients without insight require the use of coercion | 59 (31.2) |
| Aggressive patients require use of coercion | 159 (84.1) | |
| More coercion should be used in the treatment | 19 (10) | |
| Coercion preventing attitude | Verbal consent from the patient before using physical/chemical restraints by treating clinician reduce perceived coercion | 133 (70.4) |
| Coercion can be reduced by establishing a good rapport with the patient | 155 (82.0) |