Differences of mentally ill patients’ satisfaction degree during their involuntary or voluntary stay in a psychiatric clinic


Background: Mental health illness is not considered as a private matter, as it affects not only the mental patient's life and those who are considered his/her immediate family, but also the society as a whole. The involuntary examination and/or hospitalization in the field of mental health as the basic first-line therapeutic solution in Greece, calls for an immediate intervention, which is supposed to counterbalance the need for therapy and patient's rights of personal freedom and safety.
Design and methods: A research using questionnaire was realized, consisting of 100 hospitalized patients in psychiatric clinics (50 voluntarily and 50 involuntarily hospitalized) at the Psychiatric Hospital of Attica. The sampling scheme was the stratified sampling and the level of statistical significance was set to α=0.05.
Results: The results have shown that involuntarily and voluntarily hospitalized mental patients did not differ significantly with almost the entirety of the questionnaire; however, the involuntary patients were significantly more satisfied with the conditions of hospitalization as well as assessing the overall quality of the services provided during their hospitalization.
Conclusions: For mentally ill patients, greater importance and stronger correlation with gratification, does not constitute the admission procedure to the psychiatric clinic but the development of effective communication and therapeutic relationship with the staff, full knowledge and update about patient’s health condition, medication, participation in therapeutic planning and hospitalization in a regime of autonomy and respect for their rights.



PlumX Metrics


Download data is not yet available.


WHO. The World Health Report 2001: Mental Health: New Understanding, New Hope. Geneva; 2001. Available from: https://www.who.int/whr/2001/en/

WHO. Mental Health ATLAS Paris, 2017. Available from: https://apps.who.int/iris/bitstream/handle/10665/272735/9789241514019-eng.pdf?ua=1

Walker ER, McGee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry 2015;72:334–41. DOI: https://doi.org/10.1001/jamapsychiatry.2014.2502

WHO. Global burden of neurological disorders estimates and projections in Neurological disorders: Public Health Challenges. Geneva, 2006. Available from: https://www.who.int/mental_health/neurology/chapter_2_neuro_disorders_public_h_challenges.pdf

Mavreas VG, Beis A, Mouyia A, et al. Prevalence of psychiatric disorders in Athens. Soc Psychiatry 1986;21:172-81. DOI: https://doi.org/10.1007/BF00583997

Skapinakis P, Bellos S, Koupidis S, et al. Prevalence and sociodemographic associations of common mental disorders in a nationally representative sample of the general population of Greece. BMC Psychiatry 2013;13:163. DOI: https://doi.org/10.1186/1471-244X-13-163

Economou M, Madianos M, Peppou LE, et al. Major depression in the era of economic crisis: a replication of a crosssectional study across Greece. J Affect Disord 2013;145:308-14. DOI: https://doi.org/10.1016/j.jad.2012.08.008

Madianos MG, Alexiou T, Patelakis A, Economou M. Suicide, unemployment and other socioeconomic factors: evidence from the economic crisis in Greece. Eur J Psychiatry 2014;28:39-49. DOI: https://doi.org/10.4321/S0213-61632014000100004

Butterworth P, Rodgers B, Windsor TD. Financial hardship, socioeconomic position and depression: results from the PATH through the Life survey. Soc Sci Med 2009;69:229–37. DOI: https://doi.org/10.1016/j.socscimed.2009.05.008

Scutella R, Wooden M. The effects of hardship and joblessness on mental health. Soc Sci Med 2008;67:88–100. DOI: https://doi.org/10.1016/j.socscimed.2008.02.025

Pikouli K, Konstantakopoulos G, Kalampaka P, et al. The impact of the recent financial crisis on the users’ profile of a community mental health unit. Psychiatriki 2019;30:97-107. DOI: https://doi.org/10.22365/jpsych.2019.302.97

Politis A, Trikkas G, Pexlivanidis A, et al. Involuntary hospitalization: The need for an alternative approach. Psychiatriki 2003;14:101-6.

Mougia, Β. The involuntary hospitalization of the mentally ill. Nosileutiki 2001;1:56-61.

Douzenis A, Michopoulos I, Economou M, et al. Involuntary admission in Greece: a prospective national study of police involvement and client characteristics affecting emergency assessment. Int J Soc Psychiatry 2012;58:172-7. DOI: https://doi.org/10.1177/0020764010387477

Danzer G, Wilkus-Stones A. The give and take of freedom: The role of involuntary hospitalization and treatment in recovery from mental illness. Bull Menninger Clin 2015;79:255-80. DOI: https://doi.org/10.1521/bumc.2015.79.3.255

Gabriel A. Development of an instrument to measure patients’ attitudes towards involuntary hospitalization. World J Psychiatry 2017;7:89-97. DOI: https://doi.org/10.5498/wjp.v7.i2.89

Pallis D, Apostolou NS, Economou M, Stefanis CN. Compulsory hospitalization and optimal mental health care: A European perspective and the example of Greece. Psychiatriki 2007;18:307-14.

Stylianidis S, Peppou LE, Drakonakis N, Panagou E. Involuntary hospitalisation: Legislative framework, epidemiology and outcome. In: S. Stylianidis, Editor. Social and Community Psychiatry. Springer; 2015. p. 451-68. DOI: https://doi.org/10.1007/978-3-319-28616-7_23

Alexakis I, Bethanis I. Involuntary hospitalization - The decision of Karamanov case v. Greece. European Court of Human Rights. 2014. Available from: https://mentalhealth-law.blogspot.com/2014/04/blog-post.html

Pierrakos G, Sarris M, Soulis S, et al. Comparative analysis of two surveys measuring outpatient satisfaction in primary care. Arch Hel Med 2013;30:316-24.

Katsakou C, Rose D, Amos T, et al. Psychiatric patients’ views on why their involuntary hospitalisation was right or wrong: a qualitative study. Soc Psychiatry Psychiatr Epidemiol 2012;47:1169-79. DOI: https://doi.org/10.1007/s00127-011-0427-z

Langle G, Baum W, Wollinger A, et al. Indicators of quality of in-patient psychiatric treatment: the patients’ view. Int J Qual Health C 2003;15:213-21. DOI: https://doi.org/10.1093/intqhc/mzg032

Reininghaus U, Priebe S. Measuring patient-reported outcomes in psychosis: conceptual and methodological review. Br J Psychiatry 2012;201:262-7. DOI: https://doi.org/10.1192/bjp.bp.111.107615

Greenberg GA, Rosenheck RA. Consumer satisfaction with inpatient mental health treatment in the Department of Veterans Affairs. Adm Policy Ment Health 2004;31:465-81.

Cortina JM. What is coefficient alpha? An examination of theory and applications. J Αppl Psychol 1993;78:98-104. DOI: https://doi.org/10.1037/0021-9010.78.1.98

Woodward S, Berry K, Bucci S. A systematic review of factors associated with service user satisfaction with psychiatric inpatient services. J Psychiatr Res 2017;92:81-93. DOI: https://doi.org/10.1016/j.jpsychires.2017.03.020

Miglietta E, Belessiotis R, Ruggeri C, Priebe S. Scales for assessing patient satisfaction with mental health care: A systematic review. J Psychiatr Res 2018;100:33-46. DOI: https://doi.org/10.1016/j.jpsychires.2018.02.014

Ruggeri M, Lasalvia A, Salvi G, et al. Applications and usefulness of routine measurement of patients' satisfaction with community-based mental health care, Acta Psychiatr Scand 2007;116:53–65. DOI: https://doi.org/10.1111/j.1600-0447.2007.01093.x

Ratnera Y, Zendjidjianb XY, Mendyka N, et al. Patients' satisfaction with hospital health care: Identifying indicators for people with severe mental disorder, Psychiatr Res 2018;270:503–9. DOI: https://doi.org/10.1016/j.psychres.2018.10.027

Stallard, P. The role and use of consumer satisfaction surveys in mental health services. J Ment Health 1996;5:333-48. DOI: https://doi.org/10.1080/09638239619257

Berghofer G, Lang A, Henkel H, et al. Satisfaction of inpatients and outpatients with staff, environment, and other patients. Psychiatr Serv 2011;52:104-6. DOI: https://doi.org/10.1176/appi.ps.52.1.104

Noble L, Douglas BC, Newman SP. What do patients expect of psychiatric services? A systematic and critical review of empirical studies. Soc Sci Med 2001;52:985-98. DOI: https://doi.org/10.1016/S0277-9536(00)00210-0

Schroder A. Quality in psychiatric care: an instrument evaluating patients' expectations and experiences. Int J Health Care Qual Assur 2006;20:141-60. DOI: https://doi.org/10.1108/09526860710731834

Krupchanka D, Khalifeh H, Sartorius N. Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries. Soc Psychiatry Psychiatr Epidemiol 2017;52:989-1003. DOI: https://doi.org/10.1007/s00127-017-1366-0

Brunero S, Lamont S, Fairbrother G. Using and understanding consumer satisfaction to effect an improvement in mental health service delivery. J Psychiatr Ment Health Nurs 2009;16:272-8. DOI: https://doi.org/10.1111/j.1365-2850.2008.01371.x

Gilburt H, Rose D, Slade M. The importance of relationships in mental health care: A qualitative study of service users' experiences of psychiatric hospital admission in the UK. BMC Health Serv Res 2008;8:92. DOI: https://doi.org/10.1186/1472-6963-8-92

Wynn R, Myklebust LR. Patients' satisfaction and self-rated improvement following coercive interventions. Psychiatr Psychol Law 2006;13:199-202. DOI: https://doi.org/10.1375/pplt.13.2.199

Katsakou C, Bowers L, Amos T, et al. Coercion and treatment satisfaction among involuntary patients. Psychiatr Serv 2010;61:286-92. DOI: https://doi.org/10.1176/ps.2010.61.3.286

Sorgaard KW. Patients' perception of coercion in acute psychiatric wards: an intervention study. Nord J Psychiatry 2004;58:299–304. DOI: https://doi.org/10.1080/08039480410005819

Watson A, Angell B. Applying procedural justice theory to law enforcement's response to persons with mental illness. Psychiatr Serv 2007;58:787–93. DOI: https://doi.org/10.1176/ps.2007.58.6.787

Smith D, Roche E, O’Loughlin K, et al. Satisfaction with services following voluntary and involuntary admission. J Ment Health 2014;23:38-45. DOI: https://doi.org/10.3109/09638237.2013.841864

Svensson B, Hansson L. Patient satisfaction with inpatient psychiatric care. The influence of personality traits, diagnosis and perceived coercion. Acta Psychiatr Scand 1994:90:379–84. DOI: https://doi.org/10.1111/j.1600-0447.1994.tb01610.x

Greenwood N, Key A, Burns T, et al. Satisfaction with in-patient psychiatric services: Relationship to patient and treatment factors. Br J Psychiatry 1999;174:159-63. DOI: https://doi.org/10.1192/bjp.174.2.159

Stylianidis S, Panagou A. Involuntary hospitalization in Greece: from the need for treatment to the death of rights. The Art of Crime 2018;6. Available from: https://theartofcrime.gr

Original Articles
Mentally ill, voluntary hospitalization, involuntary hospitalization, psychiatric clinic
  • Abstract views: 659

  • PDF: 417
  • HTML: 0
How to Cite
Goula, A., Margetis, E., Stamouli, M.-A., Latsou, D., & Gkioka, V. (2021). Differences of mentally ill patients’ satisfaction degree during their involuntary or voluntary stay in a psychiatric clinic. Journal of Public Health Research, 10(3). https://doi.org/10.4081/jphr.2021.2052