Reassessing the High Proportion of Involuntary Psychiatric Hospital Admissions in South Korea

The 2007 WHO-AIMS report on the mental health system of South Korea documented progress towards a national mental health plan,
protection of human rights, and growth of community based services. Yet concern was expressed that the high proportion of
involuntary to total psychiatric hospitalizations (92%) may indicate an excessively coercive system. Involuntary hospitalization
in Korea rose from 117 to 132 (per 100,000) between 2000 and 2006. In 2000, the median rate in the European Union (EU) was
74 per 100,000 (Range: 6–218). While Korea’s involuntary hospitalization rate is within the EU range, its proportion of involuntary
hospitalizations is three times that of the highest EU country (30%, Sweden). Underdevelopment of voluntary psychiatric services
and culturally mandated family referrals resulting in involuntary hospitalization are apparent reasons for the high proportion
of involuntary hospitalizations. Population-based rates per 100,000 more accurately describe involuntary hospitalization than
the proportion (ratio) measure used in the WHO-AIMS reports.