McKechnie A A, Corser A, McMillan V R
Br J Psychiatry. 1986 Jan;148:33-7. doi: 10.1192/bjp.148.1.33.
All patients formally detained in a Scottish psychiatric hospital between 1974 and 1979 were identified and their outcome determined 2 1/2-8 1/2 years later. A matched group, detained under Emergency Orders only, were also followed-up. Those formally detained had more previous psychiatric contact: functional psychoses were significantly more common in them. They remained in hospital longer, and required extensive community support when discharged. Those detained under Emergency Orders only, consisted of two sub-groups--one who left the area within two years of admission and could not be traced, and the remainder, who continued to require hospital treatment but for shorter times and with less continuous support. Amongst those detained, lack of insight was a predominant feature, which may create difficulty with regard to informed consent to treatment, given the present Amendments to the Mental Health Acts.
对1974年至1979年间被正式收治于苏格兰精神病院的所有患者进行了确认，并在2年半至8年半后确定了他们的治疗结果。还对仅根据紧急命令收治的一组匹配患者进行了随访。那些被正式收治的患者此前有更多的精神科接触史：功能性精神病在他们当中更为常见。他们住院时间更长，出院后需要广泛的社区支持。仅根据紧急命令收治的患者包括两个亚组——一组在入院后两年内离开该地区且无法追踪到，其余患者则继续需要住院治疗，但时间较短且持续支持较少。在那些被收治的患者中，缺乏洞察力是一个主要特征，鉴于目前对《精神健康法》的修订，这可能会在获得治疗知情同意方面造成困难。
