Patients' views and readmissions 1 year after involuntary hospitalisation

British Journal of Psychiatry - Tập 194 Số 1 - Trang 49-54 - 2009
Stefan Priebe1, Christina Katsakou1, Tim Amos2, Morven Leese3, Richard Morriss4, Diana Rose3, Til Wykes3, Ksenija Yeeles5
1Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary University of London
2Academic Unit of Psychiatry, University of Bristol
3Institute of Psychiatry, King’s College London
4School of Community Health Sciences, University of Nottingham
5Unit for Social and Community Psychiatry, Barts’ and the London School of Medicine and Dentistry, Queen Mary University of London, UK

Tóm tắt

BackgroundLittle is known about the long-term outcome of involuntary admissions to psychiatric hospitals.AimsTo assess involuntary readmissions and patients' retrospective views of the justification of the admission as 1-year outcomes and to identify factors associated with these outcomes.MethodSocio-demographic data and readmissions were collected for 1570 involuntarily admitted patients. Within the first week after admission 50% were interviewed, and of these 51% were re-interviewed after 1 year.ResultsAt 1 year, 15% of patients had been readmitted involuntarily, and 40% considered their original admission justified. Lower initial treatment satisfaction, being on benefits, living with others and being of African and/or Caribbean origin were associated with higher involuntary readmission rates. Higher initial treatment satisfaction, poorer initial global functioning and living alone were linked with more positive retrospective views of the admission.ConclusionsPatients' views of treatment within the first week are a relevant indicator for the long-term prognosis of involuntarily admitted patients.

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