Nicholson R A
Department of Psychology, University of Tulsa, Oklahoma 74104.
Hosp Community Psychiatry. 1988 Apr;39(4):424-9. doi: 10.1176/ps.39.4.424.
Patients initially admitted to a state hospital under an emergency commitment procedure were studied to identify the variables associated with their later change to voluntary status, release, or judicial commitment, and to compare the hospitalization and outcome patterns of voluntary and committed patients. Compared with committed or voluntary patients, released patients were younger and better educated; were more likely to be employed at admission, to contribute to family income, and to have had previous outpatient treatment; and were less likely to have serious organic or psychotic disorders or to receive government assistance. Voluntary patients were hospitalized twice as long as committed patients and were less frequently considered to have received maximum benefits from hospitalization. In view of the association between voluntary status and longer hospitalization, periodic review may be needed to safeguard these patients from unnecessary confinement.
对最初根据紧急入院程序入住州立医院的患者进行了研究，以确定与他们后来转为自愿住院状态、出院或司法强制住院相关的变量，并比较自愿住院和强制住院患者的住院情况及结局模式。与强制住院或自愿住院患者相比，出院患者更年轻，受教育程度更高；入院时更有可能就业、为家庭收入做出贡献，并且此前接受过门诊治疗；患严重器质性或精神性疾病或接受政府援助的可能性更小。自愿住院患者的住院时间是强制住院患者的两倍，并且较少被认为从住院治疗中获得了最大益处。鉴于自愿住院状态与较长住院时间之间的关联，可能需要定期复查，以防止这些患者被不必要地限制住院。
