Yesavage J A
Arch Gen Psychiatry. 1984 Mar;41(3):305-8. doi: 10.1001/archpsyc.1984.01790140095012.
The California Civil Commitment Statute provides for prolonged (14-day) involuntary hospitalization of the mentally ill on the basis of grave disability (GD), danger to self, and danger to others. Recently the procedure has been modified to provide mandatory review of all 14-day certificates for GD. Comparison of 47 patients certified before the law change with 58 subjects certified after the change found that correlations between certification category and criterion measures were significant but low. Although the change was directed toward GD, no significant improvement was seen in the specificity of application of the GD category after the legal change. Because of these limited effects, the value of time-consuming mandatory judicial review is questionable. The attempt may have been doomed from the start because of unquantifiable commitment criteria. Before additional judicial burdens are imposed on the psychiatrist, careful assessment of the rationale for such procedures should be made.
加利福尼亚州民事收容法规规定，基于严重残疾（GD）、对自身的危险和对他人的危险，对精神疾病患者进行延长（14天）的非自愿住院治疗。最近，该程序已被修改，以对所有基于严重残疾的14天证明进行强制审查。将法律变更前认证的47名患者与变更后认证的58名受试者进行比较，发现认证类别与标准测量之间的相关性显著但较低。尽管此次变更针对的是严重残疾，但法律变更后，严重残疾类别的应用特异性并未显著提高。由于这些有限的效果，耗时的强制司法审查的价值值得怀疑。由于承诺标准无法量化，这种尝试可能从一开始就注定要失败。在给精神科医生增加额外的司法负担之前，应该仔细评估此类程序的基本原理。
