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ALAN F. GREENWALD, Ph.D.; LEO H. BARTEMEIER, M.D.

Arch Gen Psychiatry. 1963;8(2):117-119.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Emotional illness does not end dramatically with discharge from a psychiatric hospital. Many discharged patients are subsequently rehospitalized for treatment of psychiatric problems. Not all patients leave the hospital initially with the consent of their attending physicians. Sometimes the decision to sign out of the hospital against medical advice is simply a function of the patient's illness, but this decision may be dictated by a variety of other circumstances: financial problems, family pressure on the patient to return home, dissatisfaction with hospital routine and treatment, etc. Angrist, Dinitz, Lefton, and Pasamanick¹ discuss some social and psychological factors in the posthospital situation which appear related to subsequent rehospitalization. The finding that returnees tend to include the more severe diagnoses is not remarkable but does raise a question as to the circumstances surrounding their initial discharge from the hospital. How many of these rehospitalized . . . [Full Text PDF of this Article]

Author Affiliations
BALTIMORE

The Seton Psychiatric Institute.

Footnotes
Submitted for publication Aug. 1, 1962.

This is a preliminary study of the problem of AMA (against medical advice) discharges among hospitalized psychiatric patients. Further research in this area is continuing and will be the subject of future reports.

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