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Nursing Ethics
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Deprivation of Liberty in Psychiatric Hospital Care: the Patient's Perspective

Lauri Kuosmanen

University of Turku, Turku, lauri.kuosmanen{at}utu.fi, Primary Health Care Organisation of the City of Vantaa, Finland

Heli Hätönen

University of Turku, Turku, Municipality of Imatra, Finland

Heikki Malkavaara

Hospital District of Helsinki and Uusimaa, Finland

Jari Kylmä

University of Kuopio, Kuopio, Finland

Maritta Välimäki

University of Turku, Turku, Finland, Pirkanmaa Hospital District, Tampere, Finland

Deprivation of liberty in psychiatric hospitals is common world-wide. The aim of this study was to find out whether patients had experienced deprivation of their liberty during psychiatric hospitalization and to explore their views about it. Patients (n = 51) in two acute psychiatric inpatient wards were interviewed in 2001. They were asked to describe in their own words their experiences of being deprived of their liberty. The data were analysed by inductive content analysis. The types of deprivation of liberty in psychiatric hospital care reported by these patients were: restrictions on leaving the ward and on communication, confiscation of property, and various coercive measures. The patients' experiences of being deprived of their liberty were negative, although some saw the rationale for using these interventions, considering them as part of hospital care.

Key Words: deprivation of liberty • ethics • patients' rights • psychiatric hospital care • psychiatric patients • qualitative methods

Nursing Ethics, Vol. 14, No. 5, 597-607 (2007)
DOI: 10.1177/0969733007080205
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