Steinglass P, Grantham C E, Hertzman M
Am J Psychiatry. 1980 Nov;137(11):1385-9. doi: 10.1176/ajp.137.11.1385.
Studies of patients signing out against medical advice (AMA) from a psychiatric service have been retrospective and inconsistent or contradictory in their findings. The authors report findings from a prospective study in which data from a brief structured interview of patients at the time of admission were used to predict subsequent AMA behavior. They achieved 80% accuracy. Critical variables centered around the nature of the "treatment contract" as perceived by the patient: AMA patients never intended to stay in the hospital for more than a few days.
关于从精神科服务机构擅自出院（AMA）患者的研究一直是回顾性的，其研究结果不一致或相互矛盾。作者报告了一项前瞻性研究的结果，该研究使用入院时对患者进行简短结构化访谈的数据来预测随后的擅自出院行为。他们的准确率达到了80%。关键变量集中在患者所感知的“治疗合同”的性质上：擅自出院的患者从未打算在医院停留超过几天。
