April 30, 2026 · The British journal of psychiatry : the journal of mental science · DOI: 10.1192/bjp.2026.10637

From early intervention in psychosis to intensive care: correlates of restrictive psychiatric practice in a national retrospective cohort study

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The authors aimed to investigate the associations between components of Early Intervention in Psychosis (EIP) care and the use of restrictive psychiatric practices, such as psychiatric intensive care unit admissions and physical restraint. Their findings revealed that certain demographic groups, particularly men and younger individuals, experienced higher rates of restrictive interventions, while specific EIP components, like cognitive behavioral therapy (CBT) and clozapine treatment, were linked to reduced hazards of these interventions. The study highlights the need for improved EIP services and addressing structural inequalities to promote less coercive mental health care.

Ryan Williams, Edward Penington, Veenu Gupta, Michelle Rickett, Joel Agorinya, Apostolos Tsiachristas, Carolyn A Chew-Graham, Jonathan Woodward, David Shiers, Alex Bottle, Benjamin McNeillis, Paul French, Belinda R Lennox, Mike J Crawford

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