The role of Mental Health Care Act status in dignity-related complaints by psychiatric inpatients: A cross-sectional analytical study.
Background
Globally interest has grown in promoting the rights of patients, especially psychiatric patients. Two core elements of patients' rights are the rights to be treated in a dignified manner and to give feedback about services. Psychiatric patients may feel treated in an undignified manner, especially during involuntary hospital admissions.


Aim
We explored the relationship between Mental Health Care Act 17 of 2002 (MHCA) status and dignity-related complaints.


Setting
The study was conducted at a specialist state psychiatric hospital.


Methods
We reviewed 120 registered complaints by psychiatric inpatients, retrieved the clinical files, and analysed 70 complaints. Fisher's exact tests described the relationship between patients' MHCA status and the frequency of dignity-related or other categories of complaints. Logistic regression analyses were adjusted for potential covariates.


Results
Most complaints were from single, literate male patients, aged 30-39 years, with mood disorders. Most complainants were admitted involuntarily (60%). Dignity-related complaints (n = 41; 58%) outnumbered nondignity-related complaints (n = 29; 41%). The proportion of dignity-related complaints was higher in involuntary (64%) and assisted (60%) patients than in voluntary patients (44%). Dignity-related complaints were not significantly associated with MHCA status (χ2 = 2.03 and p = 0.36). Involuntary patients were more than twice as likely as assisted and voluntary patients to complain about dignity-related matters (Odds ratio [OR]: 2.25; 95% confidence interval [CI] [0.71; 7.13]; p = 0.16).


Conclusion
Involuntary patients are more likely to complain about dignity-related matters. Qualitative research is recommended for a deeper understanding of patients' experiences during admission.
['Raphalalani|Shonisani|S|https://orcid.org/0000-0001-7860-3213', 'Becker|Piet J|PJ|https://orcid.org/0000-0002-9384-6472', 'Böhmer|Manfred W|MW|https://orcid.org/0000-0002-6240-0064', 'Krüger|Christa|C|https://orcid.org/0000-0003-3964-3057']
Mental Health Care Act dignity-related complaints legal status patients’ rights dignity psychiatric admissions