ArticleGlobal journal of health science2014
Patients discharged against medical advice from a psychiatric hospital in Iran: a prospective study.
Article in Global journal of health science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Investigation of Rate and Effective Factors on Discharge against Medical Advice in Psychiatric Patients Over a 10-Year Period.Iranian journal of medical sciences · 2024Article
- Analysis of factors affecting discharge with the personal consent of hospitalized patients: A cross-sectional study.Health science reports · 2023Article
- Discharge of psychiatric patients against psychiatrist's advice.Medical journal of the Islamic Republic of Iran · 2021Article
- Patient Requests for Discharge from Voluntary Psychiatric Hospitalization: a Chart Review.The Psychiatric quarterly · 2019Article
- Discharge against medical advice (DAMA): Causes and predictors.Electronic physician · 2017Article
- [Concerns about neonates discharged against medical advice from the neonatal intensive care unit].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2017Review
- Hospitalized Pregnant Women Who Leave Against Medical Advice: Attributes and Reasons.Maternal and child health journal · 2016Article
- Rate and Causes of Discharge against Medical Advice in Iranian Hospitals: A Systematic Review and Meta-Analysis.Iranian journal of public health · 2015Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimSelf- discharged patients are at high risk for readmission and ultimately higher cost for care.We intended to find the proportion of patients who leave hospital against medical advice and explore some of their characteristics.
methodsThis prospective study of discharge against medical advice was conducted in psychiatric wards of Zare hospital in Iran, 2011. A psychologist recorded some information on a checklist based on the documented information about the patient who wanted to leave against medical advice. The psychologist interviewed these patients and recorded the reasons for discharge against medical advice. Descriptive statistics were calculated for the variables.
resultsThe rate of premature discharge was 34.4%. Compared to patients with regular discharges, patients with premature discharge were significantly more likely to be male, self-employed, to have co morbid substance abuse and first admission and positive family history of psychiatric disorder. Disappearance of symptoms was the most frequent reason for premature discharge.
conclusionThe 34.4% rate of premature discharge observed in our study is higher than rate reported in other studies. One possible explanation is our teaching hospital serves a low-income urban area and most patients had low socioeconomic status. Further studies are needed to compare teaching and non-teaching hospital about the rate of premature discharge and the reasons of patients who want to leave against medical advice.
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