Involuntary hospitalization is an important but often controversial piece in the psychiatrist's repertoire. There are striking variations in the rates of compulsory hospitalization across different countries caused by legal and cultural aspects. The general profile of involuntarily committed patients is, however, quite constant. Severe psychosis, particularly positive symptoms, previous involuntary hospitalization, lack of insight, violent behavior, non-adherence to treatment and police involvement were the main clinical features correlated with increased risk. These patients were more likely to be male, of non-white ethnicity, migrants and facing personal or economic hardship.
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