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Comment & Response
December 2016

Open Wards in Psychiatric Clinics and Compulsory Psychiatric Admissions—Reply

Author Affiliations
  • 1Epidemiological and Social Psychiatric Research Institute, Department of Psychiatry, Erasmus University Medical Centre, Rotterdam, the Netherlands
  • 2Yulius Academy, Yulius Mental Health, Rotterdam, the Netherlands
JAMA Psychiatry. 2016;73(12):1293-1294. doi:10.1001/jamapsychiatry.2016.2669

In Reply We thank Schneeberger and colleagues for their kind remarks on our study.1 They raise 2 issues concerning this article. First, they point to the fact that we limited our inclusions to randomized clinical trials (RCTs) to obtain the highest level of evidence, thus excluding a large part of the literature. We acknowledge that quasiexperimental and naturalistic studies may be valuable. However, RCT-derived evidence on a certain intervention will always prevail over evidence derived from quasiexperimental and naturalistic studies. This has been clearly pointed out in the discussion on community treatment orders.2,3

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