Patients Who Leave the Hospital Against Medical Advice: The Role of the Psychiatric Consultant

P. Holden, K. N. Vogtsberger, P. C. Mohl, D. S. Fuller

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Previous studies have identified characteristics of patients who threaten to leave non-psychiatric units against medical advice, but few have described the role of the psychiatric consultant in the patient's decision. This study compared the medical records of 31 patients who threatened to leave the hospital against medical advice (AMA) and who were seen in consultation with the records of AMA-discharged patients who were not seen by a psychiatric consultant. Most patients who received consultations remained hospitalized or were discharged in regular fashion. Those seen soon after admission were most likely to stay. Patients were more likely to remain hospitalized if the consultant's recommendations had a practical, rather than a psychological, orientation.

Original languageEnglish (US)
Pages (from-to)396-404
Number of pages9
JournalPsychosomatics
Volume30
Issue number4
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

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