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I. Origin and Prevention

ROBERT S. DANIELS, M.D.; PHILIP M. MARGOLIS, M.D.; ROBERT C. CARSON, Ph.D.

Arch Gen Psychiatry. 1963;8(2):120-130.

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

Introduction

Discharge against medical advice is a disruptive crisis on a psychiatric ward. The patient, his family, his fellow-patients, and the staff are often disappointed, frustrated, and angry. If the discharge occurs early in the course of hospitalization, the painful sacrifices which have been made to bring about hospitalization seem to have been in vain. If it occurs later, many of the participants feel as if the maximum therapeutic benefits have not been derived. Such crises often result in one or another segment of the staff being blamed for the undesirable outcome. This study was undertaken during the 2-year period between Sept. 1, 1957, and Aug. 31, 1959, when the rate of discharge against medical advice for the psychiatric unit of the University of Chicago Hospitals and Clinics was 11.3% (32 of 283 admissions). We hoped that the information and understanding about the origins and outcome . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO; DURHAM, N.C.

Assistant Professor, Department of Psychiatry, University of Chicago School of Medicine (Dr. Daniels) ; Associate Professor, Department of Psychiatry, University of Chicago School of Medicine (Dr. Margolis); Assistant Professor of Psychology, Department of Psychiatry, Duke University College of Medicine (Dr. Carson).

Footnotes
Submitted for publication July 28, 1962.

This paper was first presented in an abbreviated form at the Third World Congress of Psychiatry, June 6, 1961, Montreal, Canada.

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