@article{ref1,
title="Outcomes following appeal and reversal of civil commitment",
journal="General hospital psychiatry",
year="2010",
author="Moss, Jay H. and Redelmeier, Donald A.",
volume="32",
number="1",
pages="94-98",
abstract="OBJECTIVE: Psychiatric inpatients may be detained against their will, yet they still retain the right to apply for a hearing to challenge this detention. We tested whether adjudicated decisions over whether to uphold or rescind the detention have implications in subsequent patient morbidity. METHODS: Consecutive patients applying to the Consent and Capacity Board in Ontario between January 1, 2004, and March 31, 2007, were identified who had a hearing to challenge their involuntary detention. Population based databases provided information on subsequent deaths, hospitalization for a psychiatric illness, or emergency department visit for any reason. RESULTS: A total of 3498 decisions were rendered for 2321 unique psychiatric patients during the 39 month study period. Almost all patients (90%) had a prior psychiatric admission. Approximately 18% of involuntary detentions were rescinded with subsequent outcomes showing a greater likelihood of emergency department visits within 100 days of discharge in the group whose detention was rescinded compared to the group whose detention was upheld (46% vs. 36%, P=.003). CONCLUSIONS: When an involuntary detention is rescinded patients have a high likelihood of subsequent utilization of emergency department services for suicide related symptoms but no large increase in risk of dying.<p /><p>Language: en</p>",
language="en",
issn="0163-8343",
doi="10.1016/j.genhosppsych.2009.10.004",
url="http://dx.doi.org/10.1016/j.genhosppsych.2009.10.004"
}