McCready J, Merskey H
Can J Psychiatry. 1982 Mar;27(2):140-3. doi: 10.1177/070674378202700209.
The survey of 102 consecutive certificates for involuntary admission and a review of the case material demonstrated that in 78 cases the form was completed adequately. In 13 cases full description of evidence of mental disorder was lacking on the certificate but after reviewing the cases it would appear that clear evidence of mental disorder was probably present at the time of certification. In this survey, suicidal or homicidal risk alone was not considered evidence of mental disorder. In the full 11 cases the grounds for diagnosing mental disorder rested upon the presence of phenomena like anger, alcoholism, or mild mental retardation or the presence of a personality disorder, all of these being associated with risk to the patient or another person. Compelling evidence for the necessity of psychiatric commitment in these complex situations cannot be described briefly; thus it does not appear that an altered certification form would solve the problem.
对102份连续的非自愿入院证明进行的调查以及对病例材料的审查表明，在78例中，表格填写完整。在13例中，证明上缺乏对精神障碍证据的完整描述，但在审查这些病例后，似乎在开具证明时可能存在明确的精神障碍证据。在本次调查中，仅自杀或杀人风险不被视为精神障碍的证据。在全部11例中，诊断精神障碍的依据是存在愤怒、酗酒、轻度智力迟钝或人格障碍等现象，所有这些都与对患者或他人的风险相关。在这些复杂情况下，无法简要描述强制进行精神科住院治疗必要性的有力证据；因此，似乎修改后的证明表格并不能解决问题。
