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P0015 - Absconding by patients from psychiatric hospital

Published online by Cambridge University Press:  16 April 2020

R. Kigli ,
D. Amital ,
A. Barzilay ,
T. Katz ,
Z. Marzayev  and
M. Kotler
R. Kigli
Affiliation:
Ness Tziona Be'er Ya'akov Mental Health Center, Ness Tziona, Israel Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
D. Amital
Affiliation:
Ness Tziona Be'er Ya'akov Mental Health Center, Ness Tziona, Israel
A. Barzilay
Affiliation:
Geha Mental Health Center, Petah Tikva, Israel
T. Katz
Affiliation:
Ness Tziona Be'er Ya'akov Mental Health Center, Ness Tziona, Israel
Z. Marzayev
Affiliation:
Geha Mental Health Center, Petah Tikva, Israel
M. Kotler
Affiliation:
Ness Tziona Be'er Ya'akov Mental Health Center, Ness Tziona, Israel Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel

Abstract

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Absconding by patients from acute psychiatric wards is a high risk behavior profile in mental medical centers. Being admitted to an acute ward is a stressful event for the patient, accompanied by pathological psychiatric symptomatology, separation from family and familiar environment, adjustment to the environs of ward, the treatment process itself and the loss of autonomy over everyday life. Absconding by patients presents a legal, social and treatment challenge for caregivers. Absconding means abrupt stopping of medication and therapeutic processes, need for police and legal systems interference and worry for the family. Moreover, absconding disposes major safety issues for the patient and his surroundings.

This abstract summarizes prospective study in two mental health centers. Every absconding was mapped within 48 hours of occurrence. Mapping was carried out by a trained team member filling out a structured form.

Study goal: Collecting data and identifying absconders' characteristics, comparing absconders' data from the two centers, pointing out significant ward or hospital variables affecting absconding and comparing patient and staff apprehension of the event.

Results:

The study collected data of 143 absconding patients, 33% of whom were in confined hospitalization. Most of them were young, single and of low socioeconomic status. Most escaped in the evening shift. There were no significant differences in patient variables between the 2 hospitals. Previous hospitalizations was higher in one of the hospitals (t=2.568, p= .013). There were more staff members in one of the hospitals (t=4.016, p<.0001). There were no difference between the day and the absconding shift.

Type
Poster Session I: Stress
Information
European Psychiatry , Volume 23 , Issue S2: 16th AEP Congress - Abstract book - 16th AEP Congress , April 2008 , pp. S85
Copyright
Copyright © European Psychiatric Association 2008
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