Evidence map›Paper›PMID 28760099›Full record

ArticlePsychiatric services (Washington, D.C.)2017

The Utility of Outpatient Commitment: II. Mortality Risk and Protecting Health, Safety, and Quality of Life.

Steven P Segal, Stephania L Hayes, Lachlan Rimes

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
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  10. The utility of outpatient commitment: Reduced-risks of victimization and crime perpetration.European psychiatry : the journal of the Association of European Psychiatrists · 2019
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Steven P SegalDr. Segal and Ms. Hayes are with the School of Social Welfare, University of California, Berkeley. Dr. Segal is also with the Department of Social Work, Melbourne School of Health Sciences, Melbourne, Victoria, Australia. Mr. Rimes is with the Victoria Department of Health and Human Services, Melbourne.
Stephania L HayesDr. Segal and Ms. Hayes are with the School of Social Welfare, University of California, Berkeley. Dr. Segal is also with the Department of Social Work, Melbourne School of Health Sciences, Melbourne, Victoria, Australia. Mr. Rimes is with the Victoria Department of Health and Human Services, Melbourne.
Lachlan RimesDr. Segal and Ms. Hayes are with the School of Social Welfare, University of California, Berkeley. Dr. Segal is also with the Department of Social Work, Melbourne School of Health Sciences, Melbourne, Victoria, Australia. Mr. Rimes is with the Victoria Department of Health and Human Services, Melbourne.
Department of Health and Human Services · AU

Funding

TRAINING IN MENTAL HEALTH FINANCE &SERVICE DELIVERYT32MH018828 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI SEGAL, STEVEN P · 1987 to 2001
$596k
NIMH NIH HHS T32 MH018828
6 · The paper itself

Abstract

objectiveThis study assessed the contribution of a form of outpatient commitment-community treatment orders (CTOs)-to mortality risk and quality of life of patients with severe mental illness.

methodsData (2000--2012) were obtained from the Australian National Death Index, Victoria Department of Health, Victoria police records, and National Outcomes and CaseMix Collection quality-of-life records for patients in the Victorian Psychiatric Case Register/RAPID with a history of psychiatric hospitalization: CTO cohort, N=11,424; non-CTO cohort, N=16,161. The contribution of CTOs to mortality risk associated with CTO facilitation of access to general medical care and prevention of criminal involvement was assessed with logistic regression models. Cohort differences in quality of life were also examined.

resultsA total of 2,727 patients (10%) in the overall sample died, and the sample had a higher mortality risk than the general population. Probability of death by any cause was 9% lower in the CTO cohort than in the non-CTO cohort. Facilitation of access to medical care accounted for a 20% reduction in risk of non-injury-related deaths in the CTO cohort, compared with the non-CTO cohort. Risk of death by self-harm was 32% higher, compared with the non-CTO cohort. CTO placement appeared to lead to a gain of 3.8 years of life among men and 2.4 years among women, compared with the non-CTO cohort. Quality-of-life scores were modestly less favorable for the non-CTO cohort.

conclusionsCTO placement was associated with lower mortality risk via facilitated access to medical care and with modest enhancement of quality of life.

Indexed as

Cause of DeathPatient SafetyQuality of LifeAdultAgedCohort StudiesCommitment of Persons with Psychiatric DisordersDeinstitutionalizationFemaleHealth Services AccessibilityHumansMaleMental DisordersMental Health ServicesMiddle AgedRegistriesMedical morbidity and mortality, Outpatient commitment, Deinstitutionalization, Involuntary commitment, Law &amppsychiatry

Identifiers

PMID28760099
PMCPMC7213026
OpenAlexW2741957110

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.