Shared decision making in psychiatric practice and the primary care setting is unique, as measured using a 9-item Shared Decision Making Questionnaire (SDM-Q-9).

7 Nevertheless, the positive impact of SDM has been shown in improving patient treatment compliance, knowledge, and satisfaction, activation of and increasing involvement in decision making, fewer psychiatric symptoms, and an overall trend towards a decline in hospitalization. 7 – 11 Given the considerable differences between the two therapeutic settings, it appears logical to suspect that despite the positive effects recorded in the mental health care setting, major differences could exist when comparing with SDM in general non-mental health patients at different steps of the SDM process.

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