Szmukler G I, Bird A S, Button E J
Psychol Med. 1981 Aug;11(3):617-36. doi: 10.1017/s0033291700052909.
This study examines the role that clinical and social factors play in compulsory admissions to hospital in a London borough. 150 patients compulsorily admitted under a section of the Mental Health Act 1959 were compared with 100 informally admitted patients. Significant differences in social-demographic and clinical characteristics are described as well as differences in outcome on follow-up. A long-term unwillingness on the part of the compulsory patients to engage in follow-up services was evident. These differences still held when the compulsory patients were compared with a group of informal patients matched for age, sex and diagnosis. Patients referred by the police and admitted under Section 136 of the Mental Health Act showed those features associated with compulsory admission in general to the most severe degree.
本研究探讨了临床因素和社会因素在伦敦一个行政区强制住院治疗中所起的作用。将根据1959年《精神健康法》某条款被强制收治的150名患者与100名非强制收治的患者进行了比较。描述了社会人口统计学和临床特征方面的显著差异以及随访结果的差异。强制收治患者长期不愿接受随访服务的情况很明显。当将强制收治患者与一组在年龄、性别和诊断方面匹配的非强制收治患者进行比较时，这些差异仍然存在。由警方转介并根据《精神健康法》第136条收治的患者，总体上表现出与强制收治相关的那些特征，且程度最为严重。
