Sheikhmoonesi Fatemeh, Kabirzadeh Azar, Taha Yahyavi Seyyed, Mohseni Benyamin
Psychiatry and Behavioral Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Med Glas (Zenica). 2012 Aug;9(2):345-9.
To investigate the motivation and characteristics of patients absconding from a psychiatric ward in Iran.
A prospective study was conducted for patients who absconded from psychiatric ward in the period between July 2010 and July 2011. The variables were patients' age, gender, hospital stay, substance abuse, psychiatric diagnosis and site of absconding. All patients were interviewed to assess their motivation for absconding.
Over a one-year period of data collection 56 absconding events were recorded, with the incidence rate of 4.24%. The mean age of absconders was 31+8.4 years, 47 (83.9%) absconders were males, 28 (50.9%) absconds happened through the park fence. Bipolar mood disorder or schizophrenia was the diagnosis of 23 (41%) absconders. The mean number of days of hospitalization in patients who left the wards was 11 days. The main motivation to abscond was boredom from the ward environment and missing the family.
The risk of absconding is highest in the early days of admission especially in male, young patients with diagnosis of bipolar mood disorder or schizophrenia.
调查伊朗精神病病房患者逃跑的动机及特征。
对2010年7月至2011年7月期间从精神病病房逃跑的患者进行前瞻性研究。变量包括患者的年龄、性别、住院时间、药物滥用情况、精神病诊断及逃跑地点。对所有患者进行访谈以评估其逃跑动机。
在为期一年的数据收集期间，记录了56起逃跑事件，发生率为4.24%。逃跑者的平均年龄为31±8.4岁，47名（83.9%）逃跑者为男性，28起（50.9%）逃跑事件是通过公园围栏发生的。23名（41%）逃跑者的诊断为双相情感障碍或精神分裂症。离开病房的患者平均住院天数为11天。逃跑的主要动机是病房环境无聊及想念家人。
入院早期逃跑风险最高，尤其是诊断为双相情感障碍或精神分裂症的年轻男性患者。
