Inpatient seclusion: description and causes.
Bull. Amer. Acad. Psychiatry & the Law
22(3): 421-30, 1994.
A total of 114 (31%) of 370 acute admissions to an inpatient unit over a one-year interval had at least
one episode of seclusion or restraint. Four variables were significant predictors of seclusion and
restraint. They were young age, diagnosis of borderline personality disorder, and two scores
(irritability and total assets) on the Nurses Observation Scale for Inpatient Evaluation (NOSIE).
More than 81% of the predictions were correct (Kappa = .37, p < .001). The four predictive
were used to predict seclusion and restraint in a new sample of 80 patients. More than 79% of the
predictions were correct (Kappa = .40, p < .001).