ArticlePsychiatric research and clinical practice2025
Psychiatric Advance Directives: An Analysis of Current Usage at a Large County Hospital.
Article in Psychiatric research and clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Psychiatric Advance Directives: Closing the Gap Between Evidence and Crisis Care Practice.The journal of behavioral health services & research · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background/Purpose: Approximately one third of adults in the United States complete a Medical Advance Directive in their lifetime. However, few complete a Psychiatric Advance Directive (PAD), despite the high prevalence of psychiatric illness. PADs help those with mental illness specify their care preferences during periods of acute psychiatric illness. Given the minimal research regarding PAD usage, the use of PADs in clinical practice remains poorly understood. This study aims to use electronic health record (EHR) data to investigate and describe PAD usage in a large, county health system. Methods: EHR data for all patients 18 years and older with a 2022 inpatient or observation discharge were retrieved. A sample of these patients who had scanned Advance Directive documents were reviewed to assess for the presence of a PAD. Results: A total of 41,421 patients were included in this EHR analysis. No PAD documents were found in this population. Conclusion: Although the PAD template was published on the hospital website, we found no evidence of completed PADs at our facility. Further work is needed to educate providers on the importance of PADs and promote appropriate and inclusive PAD usage at the health system level. Relevance to Clinical Practice: This research identifies a significant gap in PAD utilization and emphasizes the potential for increased PAD use in clinical care. It highlights current obstacles to PAD implementation while offering actionable next steps for how PADs can fit into the larger flow of patient care.
Identifiers
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Registered trials
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.