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Related Experiment Videos

Absconding: outcome and risk.

L Bowers1, M Jarrett, N Clark

  • 1St Bartholomew School of Nursing and Midwifery, City University, London, UK.

Journal of Psychiatric and Mental Health Nursing
|January 14, 2000
PubMed
Summary
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Patient absconding from psychiatric wards poses risks, but official reports miss many cases. This study used an objective definition, finding most absconders return safely, often with family help.

Area of Science:

  • Psychiatry
  • Mental Health Services Research

Background:

  • Patient absconding from acute psychiatric wards is associated with risks of self-harm and harm to others.
  • Previous research has primarily examined officially reported absconds, potentially underestimating the scope of the issue.
  • An objective definition of absconding, independent of bureaucratic processes, is needed to capture all at-risk patients.

Purpose of the Study:

  • To investigate patient absconding from acute psychiatric wards using an objective definition.
  • To identify the characteristics of absconding patients and the outcomes of absconding episodes.
  • To evaluate the effectiveness of current interventions and identify areas for improvement in patient safety.

Main Methods:

  • A large prospective study was conducted in the East End of London.

Related Experiment Videos

  • An objective definition of absconding was employed, not reliant on official reporting.
  • Data were collected on patient risk factors, police involvement, and patient return.
  • Main Results:

    • Absconders are often considered high-risk by staff, with histories of violence or suicide attempts.
    • Police assistance was requested in 47% of absconding cases, with highly variable police responses.
    • The majority of absconds resulted in no harm, and most patients returned independently or with family/carer support.

    Conclusions:

    • Current methods for managing absconding patients may be insufficient.
    • Nurses require enhanced strategies for collaborating with police and involving relatives/carers.
    • Improved approaches are needed to ensure the safety of absconding patients and the public.