A prospective outcome study of patients missing regular psychiatric outpatient appointments
Abstract
This paper describes a prospective follow-up study of defaulters of regular psychiatric outpatient appointments in Hong Kong. To establish outcome, 258 patients were traced 6 months after their non-attendance at a follow-up clinic. Results showed that 50% returned while the rest dropped out of treatment. The clinical and demographic variables, including employment, marriage, being seen by faculty rather than resident staff, a past history of default and shorter length of contact at the clinic studied (within a year), were all significant in predicting drop-out. There was a trend for those who reattended to have received a telephone reminder, to be a student and to be single. Out of the 129 drop-out patients, 84 were traced, 23 were admitted to hospital and 5 died. There were no deaths and only 5 patients required hospitalisation among the attenders. We concluded that active reengagement of psychiatric outpatient defaulters is required.
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Estimated prevalence of dropout varies from 15 to 60% and is even higher among young people, particularly in the age group of 15-24 years.
“Estimated prevalence varies from 15 to 60 % [3–6] and is even higher among young people [4, 7–9], particularly in the age group of 15–24 years [4].”
From Determinants of dropout in a community-based mental health crisis centre (2016) · cites this paper as [6]
Cites
Missed psychiatric appointments: who returns and who stays away
Sparr, L. F., Moffitt, M. C., & Ward, M. F. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.5.801 · Cited by 140 · see citing works
Who keeps the first outpatient appointment?
(1981) · American Journal of Psychiatry · doi:10.1176/ajp.138.1.102 · Cited by 113 · see citing works
Who Misses Appointments? An Empirical Analysis
Campbell, B. I., Staley, D., & Matas, M. (1991) · The Canadian Journal of Psychiatry · doi:10.1177/070674379103600312 · Cited by 71 · see citing works
People against the mentally ill: Community opposition to residential treatment facilities
Cheung, F. M. (1990) · Community Mental Health Journal · doi:10.1007/bf00752396 · Cited by 62 · see citing works
Factors Associated With Multiple Readmissions to an Urban Public Psychiatric Hospital
Goodpastor, W. A., & Hare, B. K. (1991) · Psychiatric Services · doi:10.1176/ps.42.1.85 · Cited by 57 · see citing works
Compliance With Clinic Attendance by Outpatients With Schizophrenia
Carrion, P., Swann, A. C., Cecil, H., & Barber, M. E. (1993) · Psychiatric Services · doi:10.1176/ps.44.8.764 · Cited by 37 · see citing works
Increasing adherence in patients with primary hypertension: An intervention.
Hamilton, G. A., Roberts, S. J., Johnson, J., & Tropp, J. R. (1993) · Cited by 35 · see citing works
Returning for Follow Up: Attendance Compliance in an Indian Psychiatric Clinic
Bender, K. G., & Koshy, M. (1991) · International Journal of Social Psychiatry · doi:10.1177/002076409103700303 · Cited by 16 · see citing works
Psychiatric out-patient non-attenders: a cause for relief or concern?
Smyth, M. G., Vostanis, P., & Dean, C. (1990) · Psychiatric Bulletin · doi:10.1192/pb.14.3.147 · Cited by 9 · see citing works
Telephone Prompting to Reduce Missed CMHC Appointments
Carr, V. C. (1985) · Psychiatric Services · doi:10.1176/ps.36.11.1217 · Cited by 8 · see citing works
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Why don't patients attend their appointments? Maintaining engagement with psychiatric services
Mitchell, A. J., & Selmes, T. (2007) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.106.003202 · Cited by 292 · see citing works
The efficacy of cognitive–behavioral therapy and the problem of drop‐out
Bados, A., Balaguer, G., & Saldaña, C. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20368 · Cited by 196 · see citing works
Percudani, M., Belloni, G., Contini, A., & Barbui, C. (2002) · The British Journal of Psychiatry · doi:10.1192/bjp.180.3.254 · Cited by 87 · see citing works
Factors predicting drop‐out in community mental health centres
RENESES, B., MUÑOZ, E., & LÓPEZ‐IBOR, J. J. (2009) · World Psychiatry · doi:10.1002/j.2051-5545.2009.tb00246.x · Cited by 78 · see citing works
Byrne, P. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.174.1.1 · Cited by 76 · see citing works
Prompts to Encourage Appointment Attendance for People With Serious Mental Illness
Rowett, M., Reda, S., & Makhoul, S. (2010) · Schizophrenia Bulletin · doi:10.1093/schbul/sbq050 · Cited by 68 · see citing works
Melo, A. P. S., & Guimarães, M. D. C. (2005) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462005000200008 · Cited by 60 · see citing works
Prompts to encourage appointment attendance for people with serious mental illness
Reda, S., Rowett, M., & Makhoul, S. (2001) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002085 · Cited by 48 · see citing works
Mobile Phone Text Message Interventions in Psychiatry - What are the Possibilities?
Agyapong, V. I. O., Farren, C. K., & McLoughlin, D. M. (2011) · Current Psychiatry Reviews · doi:10.2174/157340011795945847 · Cited by 46 · see citing works
McIvor, R. J., Ek, E., & Carson, J. F. (2003) · Psychiatric Bulletin · doi:10.1192/pb.28.1.5 · Cited by 38 · see citing works
Determinants of dropout in a community-based mental health crisis centre
Henzen, A., Moeglin, C., Giannakopoulos, P., & Sentissi, O. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0819-4 · Cited by 31 · see citing works
Health Provider Determinants of Nonattendance in Pediatric Otolaryngology Patients
Cohen, A. D., Kaplan, D. M., Shapiro, J., Levi, I., & Vardy, D. (2005) · The Laryngoscope · doi:10.1097/01.mlg.0000175202.50499.63 · Cited by 32 · see citing works
No-Show Modeling for Adult Ambulatory Clinics
Türkcan, A., Nuti, L., DeLaurentis, P.-C. C., Tian, Z., Daggy, J., Zhang, L., Lawley, M., & Sands, L. P. (2013) · International series in management science/operations research/International series in operations research & management science · doi:10.1007/978-1-4614-5885-2_10 · Cited by 31 · see citing works
Singh, G., Manjunatha, N., Rao, S., Shashidhara, H. N., Moirangthem, S., Madegowda, R. K., Bhaskarapillai, B., & Varghese, M. (2017) · Indian Journal of Psychological Medicine · doi:10.4103/0253-7176.207325 · Cited by 21 · see citing works
Balıkçı, A., Erdem, M., Zincir, S., Bolu, A., Zincir, S. B., Ercan, S., & Uzun, Ö. (2013) · Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology · doi:10.5455/bcp.20121130085931 · Cited by 20 · see citing works
Health Provider Factors Associated with Nonattendance in Pediatric Dermatology Ambulatory Patients
Cohen, A. D., Goldbart, A. D., Levi, I., Shapiro, J., & Vardy, D. (2007) · Pediatric Dermatology · doi:10.1111/j.1525-1470.2007.00354.x · Cited by 17 · see citing works
Lazaratou, H., Vlassopoulos, M., & Dellatolas, G. (1999) · Psychotherapy and Psychosomatics · doi:10.1159/000012365 · Cited by 17 · see citing works
Psychiatric out-patient services: origins and future
Killaspy, H. (2006) · Advances in Psychiatric Treatment · doi:10.1192/apt.12.5.309 · Cited by 16 · see citing works
Dropping out of psychiatric treatment: a methodological contribution
Mazzotti, E., & Barbaranelli, C. (2012) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2012.01872.x · Cited by 14 · see citing works
Thomas, F. I., Olotu, S. O., & Omoaregba, J. O. (2018) · BJPsych Open · doi:10.1192/bjo.2017.11 · Cited by 13 · see citing works
Sriramalu, S. B., Elangovan, A. R., Isaac, M., & Raman, K. J. (2021) · International Journal of Social Psychiatry · doi:10.1177/00207640211008462 · Cited by 13 · see citing works
Zeleke, T. K., Birhane, W., Gubae, K., Kebede, B., & Abebe, R. B. (2023) · Patient Preference and Adherence · doi:10.2147/ppa.s422659 · Cited by 11 · see citing works
Söderberg, P., & Tungström, S. (2007) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 10 · see citing works
Sladden, M. J., & Thomson, A. N. (1999) · Australian & New Zealand Journal of Psychiatry · doi:10.1046/j.1440-1614.1999.00577.x · Cited by 9 · see citing works
Why do psychiatrists have difficulty disengaging with the out-patient clinic?
Killaspy, H. T. (2007) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.107.003590 · Cited by 8 · see citing works
Shah, S. H., Desai, N. D., Shah, S., Pathare, S., Chauhan, A., & Sharma, E. (2017) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2017.03.016 · Cited by 7 · see citing works
Lambert, B. L., Levy, N. A., & Winer, J. A. (2009) · Routledge eBooks · doi:10.4324/9780203929186-12 · Cited by 7 · see citing works
Psychiatric services for preschoolers: an emerging need
Lumu, L., Albertyn, L., & Szabo, C. P. (2015) · Journal of Child and Adolescent Mental Health · doi:10.2989/17280583.2015.1081207 · Cited by 4 · see citing works
Outcome in psychiatric outpatient services
Söderberg, P., & Tungström, S. (2007) · Cited by 3 · see citing works
Moratalla, B. G. (2008) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 1 · see citing works
Nel, Y. M. (2014) · University of the Witwatersrand, Johannesburg Institutional Repository on DSpace (University of the Witwatersrand, Johannesburg) · Cited by 1 · see citing works
A prospective study of psychiatric outpatient non-attenders
Killapsy, H. T. (2001) · UCL Discovery (University College London) · Cited by 1 · see citing works
Gaurav, H. S., Radha, J. M., Mehul, M. L., Ritambhara, Y. M., & Kamlesh, R. D. (2015)
Predittori di interruzione del trattamento in un servizio ambulatoriale di psichiatria
Rocca, P., Leo, C., Giugiario, M., Mariño, F., Mingrone, C., Mongini, T., Montemagni, C., & Pulvirenti, L. (2007) · Giornale italiano di psicopatologia/Journal of psychopathology/Italian journal of psychopathology
Lumu, L. (2014) · University of the Witwatersrand, Johannesburg Institutional Repository on DSpace (University of the Witwatersrand, Johannesburg)
Kuppili, P. P., Singhai, K., Divyanish, D., Krishnamoorthy, Y., & Menon, V. (2026) · Psychiatric Services · doi:10.1176/appi.ps.20250094
- Authors
- Pang, A. H. T., Lum, F. C. K., Ungvari, G. S., Wong, C. K., & Leung, Y. S.
- Affiliations
- Prince of Wales Hospital (CN)
- Chinese University of Hong Kong (HK)
- ORCID
- Ungvari, G. S.
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 1996-09
- Volume
- 31
- Issue
- 5
- Pages
- 299-302
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- OpenAlex
- W90073803
- Cited by
- 36
- References
- 10
- Citations by year
- 2026: 1 · 2023: 1 · 2021: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- missed appointments, outpatient psychiatric care, treatment discontinuation, re-attendance, predictors of dropout, telephone reminders, re-engagement, follow-up outcomes, hospitalization, mortality
- MeSH terms
- Adult, Ambulatory Care, Appointments and Schedules, Mental Disorders, Female, Hong Kong, Humans, Male, Middle Aged, Patient Dropouts, Prospective Studies, Outcome Assessment, Health Care
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