Patients' views and readmissions 1 year after involuntary hospitalisation.
BACKGROUND
Little is known about the long-term outcome of involuntary admissions to psychiatric hospitals.


OBJECTIVE
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.


METHODS
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.
Priebe
Stefan
S
Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, UK. S.Priebe@qmul.ac.uk
Katsakou
Christina
C
Amos
Tim
T
Leese
Morven
M
Morriss
Richard
R
Rose
Diana
D
Wykes
Til
T
Yeeles
Ksenija
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003134:Commitment of Persons with Psychiatric Disorders; D004637:Emergency Services, Psychiatric / Q000706:statistics & numerical data; D004739:England / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D010359:Patient Readmission; D017060:Patient Satisfaction; D011446:Prospective Studies; D012959:Socioeconomic Factors; D055815:Young Adult