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To Commit or Not to Commit: The Psychiatry Resident as a Variable in Involuntary Commitment Decisions

Received March 15, 2005; revised August 10, 2005; accepted September 28, 2005. Dr. Sattar is affiliated with the Creighton University School of Medicine, Omaha, Nebraska. Dr. Pinals is affiliated with the University of Massachusetts Medical School, Department of Psychiatry, Worcester, Massachusetts. Dr. Din is affiliated with the Omaha VA Medical Center and Douglas County Department of Health, Omaha, Nebraska. Dr. Appelbaum is affiliated with Columbia University, Department of Psychiatry, New York, New York. Address correspondence to Dr. Sattar, Creighton University School Of Medicine, Omaha VA Medical Center, 4101 Woolworth Ave. #116A, Omaha, NE 68105; syed.sattar{at}med.va.gov (E-mail). Copyright © 2006 Academic Psychiatry.

OBJECTIVE: To study whether psychiatry residents’ personal variables (such as age, gender, level of training, previous experience with patient suicide, or lawsuits) and their temperamental predispositions have an impact on their decisions to seek involuntary commitment. METHOD: In a prospective pilot study, all psychiatry residents in Massachusetts were surveyed using a questionnaire that assessed their risk-taking behavior and clinical vignettes of patients with risk of harm to self or others. Data were analyzed using chi-squares and t tests. RESULTS: Level of training and the residents’ risk-taking behavior may be linked to their likelihood to seek involuntary commitment. CONCLUSIONS: Psychiatric residency training should address nonpatient variables that might inappropriately influence the residents’ decisions to seek involuntary commitment.

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				J. H. Coverdale, L. W. Roberts, and A. K. Louie Encountering Patient Suicide: Emotional Responses, Ethics, and Implications for Training Programs Acad Psychiatry, October 1, 2007; 31(5): 329 - 332. [Full Text] [PDF]

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