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International Journal of Social Psychiatry, Vol. 27, No. 2, 143-147 (1981)
DOI: 10.1177/002076408102700210
© 1981 SAGE Publications

Ama Discharge From a Psychiatric Inpatient Unit

Salman Akhtar, M.D.

Department of Psychiatry and Department of Nursing, University of Virginia School of Medicine, Charlottesville, Virginia 22908

Jane Helfrich, R.N.

Department of Psychiatry and Department of Nursing, University of Virginia School of Medicine, Charlottesville, Virginia 22908

Richard F. Mestayer, M.D.

Department of Psychiatry and Department of Nursing, University of Virginia School of Medicine, Charlottesville, Virginia 22908

This study examines AMA discharges from a psychiatric inpatient unit. Such discharges are found to occur with greater frequency (p .005) among individuals with alcoholism and character disorders. The AMA patients do not, however, seem to form a homogenous group in themselves. This study identifies two subgroups of AMA patients: the "early" AMA and the "late" AMA, depending upon their length of stay in the hospital prior to AMA discharge. The demographic, clinical and psychodynamic differences between the two sub-groups are discussed. Some practical recommendations are made in regard to the prevention and management of AMA discharge requests.


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