Patients' views and readmissions 1 year after involuntary hospitalisation

• Published in: British journal of psychiatry Vol. 194; no. 1; pp. 49 - 54
• Main Authors: Priebe, Stefan, Katsakou, Christina, Amos, Tim, Leese, Morven, Morriss, Richard, Rose, Diana, Wykes, Til, Yeeles, Ksenija
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.01.2009; RCP
• Subjects: Adolescent; Adult; Aged; Attitude to Health; Commitment of Mentally Ill; Consent; Emergency Services, Psychiatric - statistics & numerical data; England - epidemiology; Ethnicity; Female; Follow-Up Studies; Hospitalization; Hospitals; Hospitals, Psychiatric; Humans; Interviews; Involuntary; Justification; Living alone; Long term; Male; Medical prognosis; Medical records; Mental disorders; Mental Disorders - epidemiology; Mental Disorders - psychology; Mental Disorders - therapy; Mental health care; Middle Aged; Patient admissions; Patient Readmission; Patient Satisfaction; Patients; Perceptions; Prospective Studies; Psychiatric hospitals; Psychiatry; Psychotropic drugs; Readmission; Retrospective studies; Sociodemographics; Socioeconomic Factors; Systematic review; Young Adult; England; United Kingdom > UK
• ISSN: 0007-1250; 1472-1465
• DOI: 10.1192/bjp.bp.108.052266

Little is known about the long-term outcome of involuntary admissions to psychiatric hospitals. To 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. Socio-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. At 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. Patients' views of treatment within the first week are a relevant indicator for the long-term prognosis of involuntarily admitted patients.