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Coercive measures in psychiatry: consensus and controversy in Swiss professional discourse

Matthias Jaeger, Anastasia Theodoridou · Frontiers in Psychiatry · 2026

Introduction Coercive measures, such as involuntary admission, treatment without consent and mechanical restraint, are among the most ethically contentious practices in psychiatry. In Switzerland, several influential position papers and guidelines articulating different professional, ethical and policy perspectives on the use and prevention of coercion have been published in recent years. Objective This review aims to provide a comparative analysis of five key Swiss documents addressing coercive measures in psychiatry, focusing on their formal characteristics, thematic priorities and underlying normative assumptions. Methods A narrative review was conducted aiming to synthesize ethical, legal and clinical perspectives on coercive measures in psychiatry, with particular focus on Swiss position papers emphasizing legal and ethical frameworks. The review included documents discussing involuntary admission, forced medication, seclusion, and restraint, as well as broader ethical analyses of co

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