Correction: Di Lorenzo et al. Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings. J. Clin. Med. 2025, 14, 2886
Text Correction
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- A correction has been made to the Abstract, regarding the definition of SACS score increase and decrease, which were reversed (the correction is in bold).
- Abstract
- Background/Objectives: The use of coercive measures in psychiatry is an ethically controversial issue. Staff attitude towards coercive measures could explain the different application frequencies of coercive measures across psychiatric services. Methods: We analyzed the attitude towards coercion held by professionals working in a psychiatric department using the Staff Attitude to Coercion Scale (SACS). We statistically evaluated the correlation between the SACS score and the demographic and work characteristics of professionals. Results: The most represented category of participants was nurses (73.03%). Most professionals worked in a Mental Health Community Service (MHCS) (72.09%). We reported a score of 41.9 ± 8.8 SD in total SACS and high scores in two SACS factors: “Coercion as offending” and “Coercion as care and security”. Professionals working in Service for Psychiatric Diagnosis and Care (SPDC) showed increased scores in total SACS and reduced the SACS dimension “Coercion as offending” score. Place of work, particularly “working in SPDC”, was statistically significantly associated with total SACS in a positive way and with the “Coercion as offending” score in a negative way in our regression multivariate test. Conclusions: Our professionals showed a predominantly critical and pragmatic attitude towards coercive measures. The professionals who are more frequently exposed to violent and aggressive behavior, such as those who work in SPDC, showed a reduced critical attitude towards coercion in comparison with those working in MHCS, suggesting that exposure to violence can shape the response of professionals.
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Reference
- Di Lorenzo, R.; Mucchi, F.; Magnani, N.; Starace, F.; Bonisoli, J.; Bottone, C.; Ragazzini, I.; Ferri, P.; Marrama, D. Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings. J. Clin. Med. 2025, 14, 2886. [Google Scholar] [CrossRef] [PubMed]
Variables | SACS Total Score (m ± SD) | Coercion as Offending (m ± SD) | Coercion as Care and Security (m ± SD) | Coercion as Treatment (m ± SD) |
---|---|---|---|---|
Profession | ||||
Nurse | 42.2 ± 8.3 | 19 ± 3.6 | 19.4 ± 4.7 | 5.9 ± 2.2 |
Psychiatric Rehabilitation Technician | 38.1 ± 7.2 | 20 ± 4.3 | 17.5 ± 3.3 | 4.5 ± 0.9 |
Nurse Assistant | 38 ± 1.4 | 20.5 ± 2.1 | 17.5 ± 0.7 | 5 ± 1.4 |
Educator | 36 | 23 | 20 | 3 |
Psychiatrist | 46 ± 13.2 | 18.6 ± 4.4 | 20.8 ± 7.9 | 7.7 ± 2.7 |
Psychologist | 39.5 ± 17.7 | 17.5 ± 6.4 | 16.5 ± 9.2 | 7.5 ± 6.4 |
Total | 41.9 ± 8.8 | 19.1 ± 3.7 | 19.2 ± 4.8 | 5.9 ± 2.3 |
Statistical test Probability | chi2 = 5.78 p = 0.3279 Kruskal–Wallis test | chi2 = 2.73 p = 0.7422 Kruskal–Wallis test | chi2 = 3.79 p = 0.5798 Kruskal–Wallis test | chi2 = 9.1 p = 0.1044 Kruskal–Wallis test |
Age (</≥ median) | ||||
<51 years | 43.02 ± 7.9 | 18.6 ± 3.6 | 19.8 ± 4.6 | 6.0 ± 2.0 |
≥51 years | 41.4 ± 9.3 | 19.5 ± 3.8 | 19.1 ± 5.1 | 5.9 ± 2.5 |
Statistical test Probability | chi2 = 29.9 p = 0.5183 Kruskal–Wallis test | chi2 = 33.4 p = 0.3508 Kruskal–Wallis test | chi2 = 32.0 p = 0.4142 Kruskal–Wallis test | chi2 = 25.9 p = 0.7224 Kruskal–Wallis test |
Sex | ||||
Male | 42.3 ± 8.4 | 19.2 ± 3.6 | 19.4 ± 5.0 | 6.1 ± 2.3 |
Female | 41.7 ± 9.0 | 19.1 ± 3.8 | 19.1 ± 4.8 | 5.8 ± 2.3 |
Statistical test Probability | chi2 = 0.006 p = 0.9366 Kruskal–Wallis test | chi2 = 0.06 p = 0.8115 Kruskal–Wallis test | chi2 = 0.018 p = 0.8946 Kruskal–Wallis test | chi2 = 0.2 p = 0.6176 Kruskal–Wallis test |
Place of work | ||||
MHCS | 40.3 ± 7.9 | 19.9 ± 3.4 | 18.6 ± 4.5 | 5.6 ± 2.1 |
SPDC | 46.2 ± 9.5 | 16.9 ± 3.7 | 20.8 ± 5.5 | 6.6 ± 2.6 |
Statistical test Probability | chi2 = 6.9 p = 0.0083 Kruskal–Wallis test | chi2 = 9.9 p = 0.0017 Kruskal–Wallis test | chi2 = 3.2 p = 0.0722 Kruskal–Wallis test | chi2 = 2.4 p = 0.1237 Kruskal–Wallis test |
Years of employment (</≥ median) | ||||
<25 years | 42.2 ± 9.6 | 18.9 ± 3.9 | 19.3 ± 5.4 | 5.9 ± 2.3 |
≥25 years | 41.6 ± 8.1 | 19.4 ± 3.6 | 19.2 ± 4.4 | 5.8 ± 2.3 |
Statistical test Probability | chi2 = 35.3 p = 0.4547 Kruskal–Wallis test | chi2 = 27.1 p = 0.8281 Kruskal–Wallis test | chi2 = 38.0 p = 0.3341 Kruskal–Wallis test | chi2 = 37.6 p = 0.3495 Kruskal–Wallis test |
Years of employment in the same service (</≥ median) | ||||
<10 years | 42.6 ± 10.4 | 19.3 ± 4.0 | 19 ± 4.4 | 6.4 ± 2.6 |
≥10 years | 42.1 ± 7.7 | 18.8 ± 3.8 | 19.7 ± 5.5 | 5.8 ± 2.1 |
Statistical test Probability | chi2 = 31.1 p = 0.6584 Kruskal–Wallis test | chi2 = 31.9 p = 0.3393 Kruskal–Wallis test | chi2 = 35.8 p = 0.4295 Kruskal–Wallis test | chi2 = 35.5 p = 0.4443 Kruskal–Wallis test |
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Di Lorenzo, R.; Mucchi, F.; Magnani, N.; Starace, F.; Bonisoli, J.; Bottone, C.; Ragazzini, I.; Ferri, P.; Marrama, D. Correction: Di Lorenzo et al. Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings. J. Clin. Med. 2025, 14, 2886. J. Clin. Med. 2025, 14, 7418. https://doi.org/10.3390/jcm14207418
Di Lorenzo R, Mucchi F, Magnani N, Starace F, Bonisoli J, Bottone C, Ragazzini I, Ferri P, Marrama D. Correction: Di Lorenzo et al. Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings. J. Clin. Med. 2025, 14, 2886. Journal of Clinical Medicine. 2025; 14(20):7418. https://doi.org/10.3390/jcm14207418
Chicago/Turabian StyleDi Lorenzo, Rosaria, Francesca Mucchi, Nadia Magnani, Fabrizio Starace, Jessica Bonisoli, Carolina Bottone, Ilaria Ragazzini, Paola Ferri, and Donatella Marrama. 2025. "Correction: Di Lorenzo et al. Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings. J. Clin. Med. 2025, 14, 2886" Journal of Clinical Medicine 14, no. 20: 7418. https://doi.org/10.3390/jcm14207418
APA StyleDi Lorenzo, R., Mucchi, F., Magnani, N., Starace, F., Bonisoli, J., Bottone, C., Ragazzini, I., Ferri, P., & Marrama, D. (2025). Correction: Di Lorenzo et al. Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings. J. Clin. Med. 2025, 14, 2886. Journal of Clinical Medicine, 14(20), 7418. https://doi.org/10.3390/jcm14207418