Distinguishing features of patients who discharge themselves from psychiatric ward

Raynes, Anthony E.; Patch, Vernon D.

doi:10.1016/0010-440x(71)90088-5

Cited by 37 publications

(18 citation statements)

References 14 publications

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“…[2101920] A few studies have also found increased rates of affective illness, substance use, and personality disorders. [62122] Most studies have been able to demonstrate an increased prevalence of involuntary patients among absconders,[372023] which supports our findings. However, a case-control study could not demonstrate the above finding and instead suggested that the absconding incidents might be more officially reported among involuntary patients than the voluntary ones.…”

Section: Discussionsupporting

confidence: 89%

Prevalence and Clinical and Coercion Characteristics of Patients who Abscond during Inpatient Care from Psychiatric Hospital

Gowda¹,

Thamby²,

Basavaraju³

et al. 2019

Indian Journal of Psychological Medicine

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Background:Patients absconding from psychiatric hospitals pose a serious concern for the safety of patients and public alike. Absconding is associated with an increased risk of suicide, self-harm, homicide, and becoming “missing” from society. There are only scarce data on profile and outcome of the absconding patients in India.Aims:To study the prevalence and describe the clinical and coercion characteristics of patients who abscond during inpatient care from an open ward.Methodology:“Absconding” was defined as patients being absent from the hospital for a period of more than 24 h. This is an analysis of absconding patients out of the 200 admitted patients at a tertiary psychiatric hospital. Descriptive statistic was used to analyze the demographic, clinical, and perceived coercion profile and outcome.Results:The absconding rate was 4.5 incidents per 100 admissions. Most of these patients were males, from a nuclear family, admitted involuntarily, belonging to lower socio-economic status, diagnosed with schizophrenia or mood disorder with comorbid substance use disorder and had absent insight. The MacArthur Perceived Coercion Scale score was 4.58 (±1.44), and 80% of the absconded patients felt subjective coercive experiences in most domains at admission. Out of the 9 absconded patients, 2 patients had completed suicides and one continued to remain untraceable.Conclusion:The absconded patients were males; admitted involuntarily; diagnosed with schizophrenia, mood disorder, and comorbid substance use disorder; and had absent insight and high perceived coercion. Absconding patients had the tendency to harm themselves and wander away from home.

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Section: Discussionsupporting

confidence: 89%

Prevalence and Clinical and Coercion Characteristics of Patients who Abscond during Inpatient Care from Psychiatric Hospital

Gowda¹,

Thamby²,

Basavaraju³

et al. 2019

Indian Journal of Psychological Medicine

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“…Kim & M. J. Kim, 1973). This figure is much higher than the 10% reported in the United States (Raynes & Patch, 1976).…”

Section: Non-compliancecontrasting

confidence: 56%

Culture and Illness Behavior in South Korea

Kim

1999

Transcult Psychiatry

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This article describes characteristic illness behaviors in Korea, traces the traditional and medico-social roots of these illness behaviors, estimates the associated social and medical costs, and introduces relevant public policies and programs. The illness behavior of Korean lay people is characterized by seeking help from multiple sources, noncompliance with medical treatment, resort to medical facilities that treat exclusively physical illness (somatization), preference for magico-religious therapies, use of health foods, and reliance on word-of-mouth advice from lay persons. The author attributes these behaviors to traditional concepts of illness in shamanism, Oriental herbal medicine, Taoist tradition and a cultural tendency toward syncretism. This pattern of illness behavior hampers efforts at secondary and tertiary prevention. Public and governmental policies and programs to address this problem have been insufficient. The author emphasizes the need for policies and programs to promote better health care in Korea.

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“…5,12,22,24,31,37 A few studies have also found increased rates of affective illness, substance use, and personality disorders. 10,38,39 A significantly higher proportion of patients who absconded had irritable affect both at the time of admission and around the time of absconding. Also, those who absconded had less perceptual abnormalities than controls at admission, which could explain the absence of perceptual abnormality among the absconding cases at the time of absconding too.…”

Section: Resultsmentioning

confidence: 97%

“… 5 , 12 , 22 , 24 , 31 , 37 A few studies have also found increased rates of affective illness, substance use, and personality disorders. 10 , 38 , 39…”

Section: Discussionmentioning

confidence: 99%

Absconding During Inpatient Care from a Tertiary Psychiatric Hospital: A Comparative Study

Verma

Khanra

Goyal

et al. 2020

Indian Journal of Psychological Medicine

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Background: Absconding from psychiatric hospitals is of great concern for patients and caregivers. Absconding affects not only the treatment and safety of these patients but also patient’s caregivers and the community. Further investigation is needed to examine the pattern of this event and the characteristics of patients who abscond. Hence, our study was aimed to examine the sociodemographic and clinical profiles of inpatients who absconded from a psychiatric hospital in five years and to compare them with matched controls. Methods: A retrospective chart review of inpatients who absconded and matched control inpatients during the specified period of five years from January 2014 to December 2018 was done at a psychiatric hospital. Each control was matched with a corresponding absconding case on the following order: (a) admission ward, (b) admission period, (c) diagnosis, and (d) age. Results: Among 20,052 adult admissions during the specified period, 38 patients absconded, with a rate of 1.8 per 1,000 admissions. Most of them were male, from a younger age group, diagnosed with schizophrenia or mood disorder, and having comorbid substance use disorder, irritable affect, impaired judgment, and absent insight. Most of the events occurred within the first two weeks of admission. About 11% of them had a history of prior absconding from the hospital. Conclusion: Knowledge about the associated sociodemographic and clinical profile would help clinicians and mental health care professionals to prevent absconding. Further risk assessment using a patient’s profile would help to reduce absconding events from psychiatric hospitals in the future.

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Distinguishing features of patients who discharge themselves from psychiatric ward

Cited by 37 publications

References 14 publications

Prevalence and Clinical and Coercion Characteristics of Patients who Abscond during Inpatient Care from Psychiatric Hospital

Prevalence and Clinical and Coercion Characteristics of Patients who Abscond during Inpatient Care from Psychiatric Hospital

Culture and Illness Behavior in South Korea

Absconding During Inpatient Care from a Tertiary Psychiatric Hospital: A Comparative Study

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