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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.

Original publication

DOI

10.1192/bjp.bp.108.052266

Type

Journal article

Journal

Br J Psychiatry

Publication Date

01/2009

Volume

194

Pages

49 - 54

Keywords

Adolescent, Adult, Aged, Attitude to Health, Commitment of Mentally Ill, Emergency Services, Psychiatric, England, Female, Follow-Up Studies, Hospitals, Psychiatric, Humans, Male, Mental Disorders, Middle Aged, Patient Readmission, Patient Satisfaction, Prospective Studies, Socioeconomic Factors, Young Adult