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Absent without leave – can we predict those who go AWOL?

Published online by Cambridge University Press:  13 June 2014

Barbara Farragher ,
Miriam Gannon  and
Ishtag Ahmad
Barbara Farragher
Affiliation:
St Vincent's Hospital, Elm Park, Dublin 4, Ireland
Miriam Gannon
Affiliation:
Mater Misericordiae Hospital, Eccles Street, Dublin 7, Ireland
Ishtag Ahmad
Affiliation:
Pen-Y-Fal Hospital, Abergavenny, Gwent, South Wales, NDY 5YY, Wales
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Abstract

Objective: To quantify the number of patients absent without leave (AWOL) from an Irish psychiatric hospital in one year and to examine the clinical and demographic data of this group of patients.

Method: This was a retrospective study of all patients reported as AWOL from St Brendan's Hospital in 1991. The following information was obtained from the patients' case notes: age, sex, legal status, marital status, psychiatric diagnosis, number of previous admissions, past history of absconding, length and outcome of absence. Their clinical and demographic variables were compared with a control group of 214 patients (non-absconders) randomly selected from the hospital admissions over a 12 month period.

Results: A total of 48 patients absconded. The majority were male, single, compulsorily detained, with a past history of absconding. The most common psychiatric diagnoses were schizophrenia (32%), personality disorder (23%) and alcohol dependence syndrome (17%). While absent, three patients had a history of suicidal behaviour and four became involved in criminal activity. Compulsory status was statistically significant when compared to the control group.

Conclusion: The characteristics of our group of absconders are similar to those in previous studies apart from the increased prevalence of personality disorder and alcohol dependence syndrome. We discuss the risks associated with absconding and recommend close follow-up of this group of patients.

Keywords

AWOLPsychiatric patientsAbsconders
Type
Audits
Information
Irish Journal of Psychological Medicine , Volume 13 , Issue 1 , March 1996 , pp. 28 - 30
Copyright
Copyright © Cambridge University Press 1996

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References

1.Tomison, RD. Characteristics of psychiatric hospital absconders. Br J Psychiatry 1989; 154: 368–71.CrossRefGoogle ScholarPubMed
2.Falkowski, J, Watts, V, Falkowski, W, Dean, T. Patients leaving hospital without the knowledge or permission of staff-absconding. Br J Psychiatry 1990; 156: 488–90.CrossRefGoogle ScholarPubMed
3.Evenson, RC, Altman, H, Sletten, IW, et al.Accuracy of actuarial and clinical predictions for length of stay and unauthorised absence. Dis Nerv Syst 1971; 36: 250–2.Google Scholar
4.Altman, H, Angle, HV, Brown, ML. Prediction of unauthorised absence. Am J Psychiatry 1972; 128: 144–7.CrossRefGoogle Scholar
5.Milner, G. The absconder. Comp Psychiatry 1966; 7: 147–79.CrossRefGoogle Scholar
6.Antebi, R. Some characteristics of mental hospital absconders. Br J Psychiatry 1967; 113: 1087–90.CrossRefGoogle ScholarPubMed
7.Muller, DJ. The ‘missing’ patient. BMJ 1962; 1: 177–9.CrossRefGoogle ScholarPubMed
8.World Health Organisation. Mental Disorders: Glossary and guide to their classification in accordance with the ninth Revision of the International Classification of Diseases(ICD 9). Geneva; World Health Organisation, 1987.Google Scholar
9.Walsh, D. The future of psychiatric services in Ireland. Ir J Psychiatry 1990; Autumn: 5–11.Google Scholar