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:: Volume 8, Issue 1 (Spring 2006) ::
J Mil Med 2006, 8(1): 24-30 Back to browse issues page
Discharge Against Medical Active from Psychiatric Ward
Tavallaei S. A. *, Asari Sh., Habibi M., Khodami H. R., Siavoshi Y., Nouhi S., Radfr Sh.
, Tav4020043@gmail.com
Abstract:   (35363 Views)

Introduction. Premature discharge is known as a cause of relapse of psychiatric disorder and readmission. Health supervisors and researchers are eager to keep this kind of discharge minimal. Current study was done to evaluate the frequency of Discharge Against Medical Advice (AMA) from psychiatric ward and correlated variables.
Materials and Methods. In this case-control retrospective study, the chart of 908 admissions in psychiatry ward of Baqiatallah hospital between 1997 and 2003 were studied. Random sampling was done. Patients were divided to patients discharged AMA and those discharged with Medical Advice. Demographic and mental health related variables were registered and compared in two groups.
Results. 31 subjects (3.4%) were discharged Against Medical Advice and 877 (96.6%) with Medical Advice. Discharge AMA was significantly correlated with psychotic disorders and depressive disorders, but not with personality disorder, anxiety disorder and bipolar disorders. Age, being soldier, socioeconomic status, military duty, familial history of mental health disorder in relatives, history of suicide, using drugs and cigarette was not significantly correlated with discharge AMA.
Discussion Over 3% of subjects who admit to Baqyiatallah hospital are discharged against medical advice. Patients with depressive or psychotic disorders are at higher risk for discharge with AMA. With respect to decrease the frequency of discharge against medical advice, it seems t be essential to give instruction to some groups of patients such as those with depressive or psychotic disorders. Further studies are recommended.

Keywords: Discharge Against Medical Advice, Psychiatric word, Military Personnel
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Type of Study: Orginal Research | Subject: military medcine
Received: 2007/01/3 | Published: 2006/04/15
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Tavallaei S. A., Asari Sh., Habibi M., Khodami H. R., Siavoshi Y., Nouhi S. et al . Discharge Against Medical Active from Psychiatric Ward. J Mil Med 2006; 8 (1) :24-30
URL: http://militarymedj.ir/article-1-51-en.html

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Volume 8, Issue 1 (Spring 2006) Back to browse issues page
مجله طب‌نظامی Journal Mil Med
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