Alexandre Wullschleger
Biographic Data
| ID | 7683215 |
|---|---|
| NAME | Alexandre Wullschleger |
| GIVEN NAMES | Alexandre |
| FAMILY NAME | Wullschleger |
| SIGNATURE | WULLSCHLEGER A |
| AFFILIATIONS | University Hospital of Geneva |
| ORCID | 0000-0001-9282-8064 |
| VERIFIED | Yes |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 10 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2017 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Psychiatric Care Pathways and the Use of Coercion
The use of coercive measures in psychiatry raises ethical and clinical concerns, particularly given their potential psychological harm and long-term consequences. While most studies focus on inpatient settings, little is known about coercion applied earlier in the care pathway. This retrospective observational study included all patients ( N = 695) admitted through the psychiatric emergency department (ED) to the adult psychiatry division of Gene…
Ethical dilemmas in the care of patients suffering from psychotic catatonia
Arguments for and against nonvoluntary treatment are reviewed based on discussion with the local ethics committee, providing a useful reference for future similar cases. Finally, this case highlights an atypical onset of psychosis in a previously high-functioning individual and explores the mental health impact of international tensions, particularly the Russian-Ukrainian war, on individuals
The cycle of violence
Previous research on adolescent peer networks has mainly focused on friendship networks and their association with violence, but very limited research is available on peer rejection networks. This lack of knowledge hinders the effectiveness of preventing peer rejection and its negative effects. Based on the theory of the cycle of violence, the present study examines the extent to which parental physical abuse experiences, aggressive behavior towa…
Treatment without consent in adult psychiatry inpatient units
Women suffering from psychosis are more at risk of receiving involuntary and repeated medication. The risk of deterioration in psychosocial functioning or behavioral disorganization seems to be the main argument for this coercive measure. Future studies should focus on the patient's perception of this coercion to prevent it and improve adherence to care. Follow-up after discharge might be useful to evaluate a long-term benefit
The Role of Implicit and Explicit Staff Attitudes in the Use of Coercive Measures in Psychiatry
Many determinants leading to the use of different coercive measures in psychiatry have been widely studied and it seems that staff attitudes play a crucial role when it comes to the decision-making process about using coercion. However, research results about staff attitudes and their role in the use of coercive measures are inconsistent. This might be due to a focus on self-report studies asking for explicit answers, which involves the risk of b…
Effects of Recovery-Orientation on the Use of Forced Medication and Maximum Daily Drug Dose
Objective: The aim of the present study was to analyze the effects of the implementation of the Recovery-orientated psychiatric care concept “Weddinger Modell” on the incidence of forced medication, the total number of forced medication incidents per affected case, the maximum dose of a singular forced medication and the maximum voluntary daily drug dose of different psychotropic drugs administered during an inpatient stay. Methods: This retrospe…
Impact of the Covid-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department
The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency with profound mental health consequences. The psychiatric emergency department (ED) plays a key role during this mental health crisis. This study aimed to investigate differences in admissions at a Swiss psychiatric ED from 1 April to 15 May during a "pandemic-free" period in 2016 and a "during-pandemic" period in 2020. The study included 579 consultations at psychiatri…
Same, Same But Different
OPINION article Front. Psychiatry, 24 April 2019Sec. Forensic Psychiatry Volume 10 - 2019 | https://doi.org/10.3389/fpsyt.2019.00249
Can “Model Projects of Need-Adapted Care” Reduce Involuntary Hospital Treatment and the Use of Coercive Measures
Intensive outpatient models of need-adapted psychiatric care have been shown to reduce the length of hospital stays and to improve retention in care for people with severe mental illnesses. In contrast, evidence regarding the impact of such models on involuntary hospital treatment and other coercive measures in inpatient settings is still sparse, although these represent important indicators of the patients' wellbeing. In Germany, intensive model…
Challenges and Perspectives in Bridging In- and Outpatient Sectors
New models of care aimed at reinforcing the outpatient sector have been introduced in Germany over the last few years. Initially, a subscription-based model ("integrated care") was introduced in 2012 in the Immanuel Klinik Rüdersdorf, wherein patients had to actively subscribe to the integrated care program. This integrated care model was replaced after 2 years by a subscription-free "model project," in which all patients insured by the contracti…
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Challenges and Perspectives in Bridging In- and Outpatient Sectors
New models of care aimed at reinforcing the outpatient sector have been introduced in Germany over the last few years. Initially, a subscription-based model ("integrated care") was introduced in 2012 in the Immanuel Klinik Rüdersdorf, wherein patients had to actively subscribe to the integrated care program. This integrated care model was replaced after 2 years by a subscription-free "model project," in which all patients insured by the contracti…
Can “Model Projects of Need-Adapted Care” Reduce Involuntary Hospital Treatment and the Use of Coercive Measures
Intensive outpatient models of need-adapted psychiatric care have been shown to reduce the length of hospital stays and to improve retention in care for people with severe mental illnesses. In contrast, evidence regarding the impact of such models on involuntary hospital treatment and other coercive measures in inpatient settings is still sparse, although these represent important indicators of the patients' wellbeing. In Germany, intensive model…
Same, Same But Different
OPINION article Front. Psychiatry, 24 April 2019Sec. Forensic Psychiatry Volume 10 - 2019 | https://doi.org/10.3389/fpsyt.2019.00249
The Role of Implicit and Explicit Staff Attitudes in the Use of Coercive Measures in Psychiatry
Many determinants leading to the use of different coercive measures in psychiatry have been widely studied and it seems that staff attitudes play a crucial role when it comes to the decision-making process about using coercion. However, research results about staff attitudes and their role in the use of coercive measures are inconsistent. This might be due to a focus on self-report studies asking for explicit answers, which involves the risk of b…
Effects of Recovery-Orientation on the Use of Forced Medication and Maximum Daily Drug Dose
Objective: The aim of the present study was to analyze the effects of the implementation of the Recovery-orientated psychiatric care concept “Weddinger Modell” on the incidence of forced medication, the total number of forced medication incidents per affected case, the maximum dose of a singular forced medication and the maximum voluntary daily drug dose of different psychotropic drugs administered during an inpatient stay. Methods: This retrospe…
Impact of the Covid-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department
The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency with profound mental health consequences. The psychiatric emergency department (ED) plays a key role during this mental health crisis. This study aimed to investigate differences in admissions at a Swiss psychiatric ED from 1 April to 15 May during a "pandemic-free" period in 2016 and a "during-pandemic" period in 2020. The study included 579 consultations at psychiatri…
Treatment without consent in adult psychiatry inpatient units
Women suffering from psychosis are more at risk of receiving involuntary and repeated medication. The risk of deterioration in psychosocial functioning or behavioral disorganization seems to be the main argument for this coercive measure. Future studies should focus on the patient's perception of this coercion to prevent it and improve adherence to care. Follow-up after discharge might be useful to evaluate a long-term benefit
The cycle of violence
Previous research on adolescent peer networks has mainly focused on friendship networks and their association with violence, but very limited research is available on peer rejection networks. This lack of knowledge hinders the effectiveness of preventing peer rejection and its negative effects. Based on the theory of the cycle of violence, the present study examines the extent to which parental physical abuse experiences, aggressive behavior towa…
Ethical dilemmas in the care of patients suffering from psychotic catatonia
Arguments for and against nonvoluntary treatment are reviewed based on discussion with the local ethics committee, providing a useful reference for future similar cases. Finally, this case highlights an atypical onset of psychosis in a previously high-functioning individual and explores the mental health impact of international tensions, particularly the Russian-Ukrainian war, on individuals
Psychiatric Care Pathways and the Use of Coercion
The use of coercive measures in psychiatry raises ethical and clinical concerns, particularly given their potential psychological harm and long-term consequences. While most studies focus on inpatient settings, little is known about coercion applied earlier in the care pathway. This retrospective observational study included all patients ( N = 695) admitted through the psychiatric emergency department (ED) to the adult psychiatry division of Gene…
Healthcare Decision-Making and Restraints (7 works) · Medicine (7 works) · Psychiatry (6 works) · Psychology (6 works) · Psychiatric care and mental health services (5 works) · Psychopathy, Forensic Psychiatry, Sexual Offending (4 works) · Schizophrenia (object-oriented programming (4 works) · Coercion (linguistics (3 works) · Logistic regression (3 works) · Mental health (3 works)