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II. Outcome

GEORGE G. MEYER, M.D.; PHILIP M. MARGOLIS, M.D.; ROBERT S. DANIELS, M.D.

Arch Gen Psychiatry. 1963;8(2):131-138.

	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

This paper reports a follow-up study of patients discharged against medical advice from the psychiatric inpatient service of the University of Chicago Clinics. The 32 patients in the study group left the hospital over the 2-year period, Sept. 1, 1957, through Aug. 31, 1959. They and their families were contacted 18 to 36 months after discharge. The results, evaluations, and implications of these contacts will be presented and discussed.

This follow-up study by us is the second phase of an investigation of the process of discharge against medical advice. Results of the first study¹ suggested that patients who were admitted as emergency cases, and who were inadequately prepared for the hospitalization, were particularly likely to leave against medical advice (a.m.a.). These patients were acutely disturbed, lacked insight, were unable to communicate, and had little motivation for treatment. The a.m.a. departures were usually precipitated . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

Assistant Professor (Dr. Meyer, Dr. Daniels) and Associate Professor (Dr. Margolis), Department of Psychiatry, University of Chicago School of Medicine.

Footnotes
Submitted for publication July 28, 1962.

An abbreviated portion of this paper was presented at the Third World Congress of Psychiatry in Montreal, June 8, 1961.

This work was supported in part by funds from the Foundations Fund for Research in Psychiatry.

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