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SYSTEMATIC REVIEW article

Front. Psychiatry
Sec. Social Psychiatry and Psychiatric Rehabilitation
Volume 15 - 2024 | doi: 10.3389/fpsyt.2024.1446619

Shared decision-making in post-coercion debriefing interventions in psychiatrya scoping review

Provisionally accepted
Katharina Froelich Katharina Froelich 1*Jan Schürmann Jan Schürmann 1,2,3,4,5Christian Huber Christian Huber 1,4Manuel Trachsel Manuel Trachsel 1,2,3,4,5
  • 1 University of Basel, Basel, Switzerland
  • 2 Unit of Clinical Ethics, University Psychiatric Clinic Basel, Basel, Switzerland
  • 3 University Geriatric Medicine FELIX PLATTER, Basel, Switzerland
  • 4 University Psychiatric Clinic Basel, Basel, Switzerland
  • 5 University Children’s Hospital Basel, Basel, Basel-Stadt, Switzerland

The final, formatted version of the article will be published soon.

    Debriefing is recommended after any coercive measure in psychiatry, but there are no wellestablished standards, and its effectiveness remains unclear. Incorporating shared decision-making (SDM) into post-coercion debriefing interventions has potentially beneficial effects. This scoping review provides an overview of the general characteristics of such interventions and the extent to which SDM elements are already used in such interventions. A total of 2562 references were identified in the scholarly databases Embase, PubMed, Web of Science, and PsycINFO. In addition, 14 articles were identified through manual searches of reference lists. 42 full-text articles were screened for eligibility, 13 articles met the eligibility criteria and were further analyzed. No intervention tool was found that clearly included all SDM elements. However, three elements of SDM were present at least partially in all interventions: definition and explanation of the health care problem, the clarification of the patient's values and preferences, and a decision or explicit deferral of the decision. Further research is needed to systematically examine the implementation and clinical effectiveness of post-coercion debriefing interventions, particularly regarding the inclusion of shared decision-making elements.

    Keywords: Coercion, debriefing, shared decision-making, Psychiatry, Decision aids, Scoping review

    Received: 10 Jun 2024; Accepted: 30 Aug 2024.

    Copyright: © 2024 Froelich, Schürmann, Huber and Trachsel. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Katharina Froelich, University of Basel, Basel, Switzerland

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.