Prospective controlled study of psychiatric out-patient non-attendance: Characteristics and outcome
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Background: Psychiatric clinics have high non-attendance rates and failure to attend may be a sign of deteriorating mental health. Aims: To investigate why psychiatric out-patients fail to attend, and the outcome of attenders and non-attenders. Method: Prospective cohort study of randomly selected attenders and non-attenders at general adult psychiatric out-patient clinics. Subjects were interviewed at recruitment and severity of mental disorder and degree of social adjustment were measured. Six and 12 months later their engagement with the clinic and any psychiatric admissions were ascertained. Results: Of the 365 patients included in the study, 30 were untraceable and 224 consented to participate. Follow-up patients were more psychiatrically unwell than new patients. For follow-up patients, non-attenders had lower social functioning and more severe mental disorder than those who attended. At 12-month follow-up patients who missed their appointment were more likely to have been admitted than those who attended. Conclusions: Those who miss psychiatric follow-up out-patient appointments are more unwell and more poorly socially functioning than those who attend. They have a greater chance of drop-out from clinic contact and subsequent admission.
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Patients who miss psychiatric follow-up are more severely ill and poorly socially functioning than those who attend their appointments.
“A prospective study of 365 patients observed that patients who miss psychiatric follow-up are more severely ill and poorly socially functioning than those who attend their appointments [23].”
From Determinants of dropout in a community-based mental health crisis centre (2016) · cites this paper as [23]
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“…8% could not be traced and 34% declined to participate, with 29% of those attending an outpatient clinic at study entry not attending 1 year later(Killaspy et al., 2000); among studies comparing community mental health team management with other standard approaches, these were associated with…”
BackgroundAdeponle, A. B., Obembe, O. A., Suleiman, G. T., & Adeyemi, O. S. (2007) · Mental Health Religion & Culture · doi:10.1080/13674670601054024 · Cited by 33 · see citing works
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“As such, our study perhaps better mirrors the experience of clinicians in an office practice where patients frequently fail to return for appointments [70, 71 ].”
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“…attendance in paediatric urology unit (Bush et al., 2014), pulmonary rehabilitation (Hayton et al., 2013; Sabit et al., 2008), psychiatric (Killaspy et al., 2000; Mitchell & Selmes, 2007a, 2007b) and HIV (Catz et al., 1999), primary care (Giunta et al., 2013), inpatient and outpatient in…”
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“Further study could examine whether efforts to reduce PFT appointment absenteeism affect patient outcomes, as was found by Killaspy et al 16 in a psychiatric clinic.”
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“Previous research has shown people with substance misuse to be significantly more likely than others to miss their NHS appointments (Sparr et al. 1993), and forgetting to be the most common reason for people missing follow-up appointments (Killaspy et al. 2000).”
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“In another prospective study of 365 psychiatric out-patients it was reported that patients who missed an appointment were more unwell due to mental or physical health problems and more functionally impaired than those who attended [6].”
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Mobile phone text message reminders: Measuring preferences of people with antipsychotic medication
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- Authors
- Killaspy, H., Banerjee, S., King, M., & Lloyd, M.
- Affiliations
- The Royal Free Hospital (GB)
- Corresponding author
- Banerjee, Sube
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2000-02
- Volume
- 176
- Issue
- 2
- Pages
- 160-165
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2150513447
- Cited by
- 325
- References
- 13
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 7 · 2023: 8 · 2022: 11 · 2021: 11 · 2020: 18 · 2019: 11 · 2018: 16 · 2017: 11 · 2016: 14 · 2015: 24 · 2014: 26 · 2013: 22 · 2012: 24
- FWCI
- 9.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Education › Youth Substance Use and School Attendance
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- missed appointments, social functioning, psychiatric hospital admissions, follow-up outcomes
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Female, Humans, Male, Middle Aged, Outpatient Clinics, Hospital, Patient Admission, Patient Dropouts, Prospective Studies, Social Support, Case-Control Studies, Treatment Refusal, Outcome Assessment, Health Care
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