The British Journal of Psychiatry (2009) 194: 49-54. doi: 10.1192/bjp.bp.108.052266
© 2009 The Royal College of Psychiatrists
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Patients’ views and readmissions 1 year after involuntary hospitalisation

Stefan Priebe, FRCPsych and Christina Katsakou, PhD

Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary University of London

Tim Amos, MRCPsych

Academic Unit of Psychiatry, University of Bristol

Morven Leese, PhD

Institute of Psychiatry, King’s College London

Richard Morriss, MD

School of Community Health Sciences, University of Nottingham

Diana Rose, PhD and Til Wykes, PhD

Institute of Psychiatry, King’s College London

Ksenija Yeeles, BSc

Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, UK

Correspondence: Professor Stefan Priebe, Academic Unit, Newham Centre for Mental Health, London E13 8SP, UK. Email: S.Priebe{at}qmul.ac.uk

Declaration of interest

None. Funding detailed in Acknowledgements.

Background

Little is known about the long-term outcome of involuntary admissions to psychiatric hospitals.

Aims

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.

Method

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.

Results

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.

Conclusions

Patients’ views of treatment within the first week are a relevant indicator for the long-term prognosis of involuntarily admitted patients.




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[Abstract] [Full Text] [PDF]