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Prospective controlled study of psychiatric out-patient non-attendance: Characteristics and outcome
Open accessAbstract
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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“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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O’Brien, A. A., White, S. J., Fahmy, R., & Singh, S. P. (2009) · Journal of Mental Health · doi:10.3109/09638230902968225 · Cited by 32
Prosser, J. M., Yard, S. S., Steele, A., Cohen, L. J., & GALYNKER, I. I. (2009) · BMC Psychiatry · doi:10.1186/1471-244x-9-25 · Cited by 32
“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 ].”
Vinchenzo, C., Lawrence, V. C., & McCombie, C. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00568-z · Cited by 31
Non-Attendance at Initial Out-Patient Appointments at a Hospital-Based Child Psychiatric Clinic
Minty, B., & Anderson, C. (2004) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104504043923 · Cited by 30
Alhamad, Z. (2013) · International Journal of Medical Science and Public Health · doi:10.5455/ijmsph.2013.2.256-265 · Cited by 30
Errington‐Evans, N. (2015) · Acupuncture in Medicine · doi:10.1136/acupmed-2014-010524 · Cited by 29
Pattern of attendance and predictors of default among Nigerian outpatients with schizophrenia
Adelufosi, A., Ogunwale, A., Adeponle, A., & Abayomi, O. (2013) · African Journal of Psychiatry · doi:10.4314/ajpsy.v16i4.38 · Cited by 29
Vanable, P. A., Carey, M. P., Carey, K. B., & Maisto, S. A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.2.362 · Cited by 29
Finnerty, M. T., Layman, D. M., Chen, Q., Leckman-Westin, E., Bermeo, N., Ng-Mak, D. S., Rajagopalan, K., & Hoagwood, K. E. (2018) · Psychiatric Services · doi:10.1176/appi.ps.201800130 · Cited by 28
Adelufosi, A. O., Ogunwale, A., Abayomi, O., & Mosanya, J. T. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2012.12.027 · Cited by 28
Predicting non-attendance in hospital outpatient appointments using deep learning approach
Dashtban, M. H., & Li, W. (2021) · Health Systems · doi:10.1080/20476965.2021.1924085 · Cited by 30
“…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…”
BackgroundHaynes, J. M., & Sweeney, E. L. (2006) · Respiratory Care · doi:10.4187/respcare.06510036 · Cited by 28
“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.”
Cruz, M., ROTER, D. L., Cruz, R. F., Wieland, M. E., Larson, S., Cooper, L. A., & Pincus, H. A. (2013) · Psychiatric Services · doi:10.1176/appi.ps.201200416 · Cited by 29
Platt, B., Kamboj, S. K., Italiano, T., Rendell, P. G., & Curran, H. V. (2016) · Psychopharmacology · doi:10.1007/s00213-015-4145-1 · Cited by 27
“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).”
BackgroundWang, G., Karimi, N., Willmann, L., Pipicella, J. L., Descallar, J., O’Connor, K., Peculis, L. D., Leung, Y., Connor, S. J., Huang, V., et al. (2022) · Digestive Diseases and Sciences · doi:10.1007/s10620-022-07494-9 · Cited by 26
Mulligan, J., Haddock, G., Hartley, S., Davies, J., Sharp, T., KELLY, J. A., Neil, S. T., Taylor, C. D. J., Welford, M., Price, J., et al. (2014) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12018 · Cited by 30
Khazaie, H., Rezaie, L., & de Jong, D. M. (2012) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2012.10.008 · Cited by 26
Agyapong, V. I. O., Rogers, C., MacHale, S., & Cotter, D. (2010) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.40.2.g · Cited by 26
“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].”
BackgroundVasfi, M. G., Moradi‐Lakeh, M., Esmaeili, N., Soleimani, N., & Hajebi, A. (2014) · Psychiatric Services · doi:10.1176/appi.ps.201400111 · Cited by 25
Mobile phone text message reminders: Measuring preferences of people with antipsychotic medication
Kauppi, K., Kannisto, K. A., Hätönen, H. M., Anttila, M., Löyttyniemi, E., Adams, C. E., & Valimaki, M. A. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.07.044 · Cited by 28
Metadata
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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