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Informal psychiatric patients requesting discharge

  • Robin McGilp (a1), Brian Kidd (a2), Cameron Stark (a3) and Tom Henderson (a4)
Extract

A retrospective investigation of case-notes compared 54 incidents of informal psychiatric in-patients being detained in hospital on an emergency basis with 66 incidents of discharge against medical advice (AMA). The characteristics of the two groups were compared. Detained patients were more likely to have been detained previously, to be suffering from a psychotic illness, and to have threats of violence or self-harm mentioned in their case-notes. AMA patients were more likely to have a history of substance abuse but were no more likely than the detained group to have been discharged AMA in the past. The results suggest that psychiatrists in this hospital are using current legislation on detention appropriately.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Dy, A.J. (1975) Defining the AMA discharge. (letter). American Journal of Psychiatry, 132, 297.
Harper, D.W., Elliot-Harper, C., Weinerman, R., Anderson, N.J. & Nelson, T.A. (1982) Comparison of AMA and Non-AMA Patients on a Short-Term Crisis Unit. Hospital and Community Psychiatry, 33, 4648.
Miles, J.E., Adelsberg, M., Reith, G. & Cumming, J. (1976) Discharges against medical advice from voluntary psychiatric units. Hospital and Community Psychiatry, 27, 859865.
Phillips, M.S. & Ali, H. (1983) Psychiatric patients who discharge themselves against medical advice. Canadian Journal of Psychiatry, 28, 202205.
Planasky, K. & Johnston, R. (1976) A survey of patients leaving hospital against medical advice. Hospital and Community Psychiatry, 27, 865868.
Tomison, A. (1989) Characteristics of psychiatric hospital offenders. British Journal of Psychiatry, 154, 368371.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Informal psychiatric patients requesting discharge

  • Robin McGilp (a1), Brian Kidd (a2), Cameron Stark (a3) and Tom Henderson (a4)
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