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Journal Article

Citation

Wigand ME, Orzechowski M, Nowak M, Becker T, Steger F. Int. J. Soc. Psychiatry 2020; ePub(ePub): ePub.

Copyright

(Copyright © 2020, SAGE Publishing)

DOI

10.1177/0020764020942797

PMID

32674633

Abstract

BACKGROUND: Persons with schizophrenia are vulnerable regarding human rights violations.

AIMS: The aim of this research is to systematically analyse judgements by the European Court of Human Rights (ECtHR) involving persons with schizophrenia.

METHODS: A systematic search of judgements by the ECtHR, using the search term 'schizophrenia'. Descriptive statistics and a qualitative thematic analysis were performed.

RESULTS: A total of nā€‰=ā€‰105 judgements were included, originating in nā€‰=ā€‰29 countries. Article 5 (Right to liberty and security) of the European Convention on Human Rights was ruled by the ECtHR to have been violated in 45.7% of judgements, Article 3 (Prohibition of torture) in 20.0% and Article 8 (Right to respect for private and family life) in 19.0%. Relevant themes were inadequate access to mental health care, especially in prisons and during police operations, involuntary confinement, detention and ill-treatment as a risk factor for psychosis, the right to family life versus the rights of others, extradition/expulsion and protection of other persons' human rights against violent behaviour by persons with schizophrenia.

DISCUSSION: Persons with schizophrenia often do not receive adequate treatment and are especially vulnerable in prisons, where ill-treatment can be an additional risk factor. They can have both offender and victim status. The judgements suggest that the ECtHR has a balanced view on involuntary confinement. National legislation and internal hospital guidelines should be written in a manner to help minimise human rights violations against persons with schizophrenia.


Language: en

Keywords

torture; law; involuntary confinement; Psychiatric ethics; structural stigma

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