Mental health patients perceive observation as the least restrictive intervention.

In modern mental health care, balancing safety with dignity remains a vital concern—especially when restrictive interventions (RIs) are necessary. Our recent commentary on an integrative review by Lindekilde et al. reveals an important insight: mental health patients perceive observation as the least restrictive and most acceptable intervention.

The review synthesized findings from 31 studies, highlighting that patients consistently rated observation higher than alternatives like seclusion, mechanical restraint, or rapid tranquilization. While preferences varied, observation emerged as the most humane option, especially when accompanied by respectful communication and supportive environments.

Patients emphasized the importance of staff presence, the ability to maintain autonomy, and having access to personal items during observation. Interventions applied by well-trained, calm staff of the same gender were also preferred. These elements underscore the need to design personalized care approaches that consider patient voices.

This study reinforces the idea that mental health care must prioritize recovery-oriented, person-centered practices. Observation, when thoughtfully implemented, not only enhances patient safety but also preserves their dignity—an essential step toward truly humane mental health care. As professionals, listening to those we care for might just be the most powerful intervention of all. ​

Yesodharan, R., & Renjith, V. (2024). Mental health patients perceive observation as the least restrictive intervention. Evidence-based nursing, ebnurs-2024-104132. Advance online publication. https://doi.org/10.1136/ebnurs-2024-104132