Factors associated with absconding behaviours amidst inpatients of a regional psychiatric hospital in Nigeria

Authors

  • Saheed Olanrewaju Raji Sarkin Maska Shehu Hospital (SMASH), Funtua, Katsina State.
  • O.C Ikeji Psychiatry Unit, Sarkin Maska Shehu Hospital (SMASH)) Funtua, Katsina State.
  • J. O. Omoaregba Department of Clinical Services, Federal Neuro-Psychiatric Hospital (FNPH), Uselu, Benin-city, Edo State, Nigeria.

DOI:

https://doi.org/10.60787/tnhj.v19i1.427

Keywords:

Abscond, Escape, Inpatients, Hospital, Nigeria

Abstract

Background: Absconding from inpatient psychiatric setting is a potentially dangerous phenomenon for  all the stakeholders in the mental health setting and the community at large. In order to put in place appropriate prevention strategies, there is a need to identify factors associated with absconding

Objectives: The study aimed to determine the rate of absconding behavior in a regional psychiatric hospital in Nigeria, and identify its associated factors and predictors.

Study Design: This is a cross-sectional study of admitted patients. A semi-structured socio-demographic questionnaire, Mini International Neuropsychiatric Interview (MINI), Global Assessment of Function (GAF) were administered to 406 admitted cases in the Federal Neuropsychiatric Hospital, Benin City

Data was analysed with SPSS 20. only thirteen cases of abscond were recorded during the study period.

Results: Abscond rate was found to be 3.2%. Male gender, diagnosis of psychoactive substance related disorders, and past history of escape in treatment setting were significantly related to absconding behaviours with the latter emerging as the best predictor.

Conclusion: Patients at high risk of abscond require special attention

Downloads

Download data is not yet available.

Author Biography

Saheed Olanrewaju Raji, Sarkin Maska Shehu Hospital (SMASH), Funtua, Katsina State.

Consultant Psychiatrist

References

Exworthy T, Wilson S. Escapes and absconding from secure psychiatric units. Psychiatrist [Internet]. 2010 Mar 1 [cited 2013 Oct 14];34(3):81–2. Available from: http://pb.rcpsych.org/cgi/doi/10.1192/pb.bp.108.024372

Ayed I Al. What Makes Patients Leave Against Medical Advice? J Taibah Univ Med Sci [Internet]. 2009;4(1):16–22. Available from: http://dx.doi.org/10.1016/S1658-3612(09)70077-0

Stewart D, Bowers L. Absconding from psychiatric hospitals : a literature review. Report from the Conflict and Containment Reduction Research Programme Section of Mental Health Nursing Maudsley Institute of psychiatry, London. 2010;(November):1–43.

Emanuel L, Taylor L, Hain A, Combes J, Hatlie M, Karsh B, et al. Module 13b : Mental Health Care : Preventing and Responding to Absconding and Missing Patients. The Patient Safety Education Program - Canada (PSEP - Canada). 2013.

Cullen AE, Jewell A, Tully J, Coghlan S, Dean K. A Prospective Cohort Study of Absconsion Incidents in Forensic Psychiatric Settings : Can We Identify Those at High-Risk ? PLoS One. 2015;10(9):1–16.

Exworthy T, Wilson S. Escapes and absconds from secure psychiatric units Escapes and absconding from secure psychiatric units. Psychiatrist. 2010;34(January):81–2.

Khammarnia M, Kassani A, Amiresmaili M, Sadeghi A, Jaberi ZK. Study of patients absconding behavior in a general hospital at southern region of Iran. Int J Heal Policy Manag [Internet]. 2015;4(3):137–41. Available from: http://dx.doi.org/10.15171/ijhpm.2014.110

Sheikhmoonesi F, Kabirzadeh A, Yahyavi ST, Mohseni B. A prospective study of patients absconding from a psychiatric hospital in Iran. Med Glas Ljek komore Zenicko-doboj kantona. 2012;9338(August):86–90.

Andoh B. The Consequences of Absconding from Mental Hospitals. Mountbatt J Leg Stud. 1991;70–92.

Bower I, Jarret M, Clark N, Kiyimba F, L MF. Absconding: why patients leave. J Psychiatr Ment Health Nurs. 1999;6(3):199–205.

Muir-Cochrane E, Mosel K, Gerace A, Esterman A, Bowers L. The profile of absconding psychiatric inpatients in Australia. Joutnal Clin Nurs. 2011;20(5–6):706–13.

Sheehan D., Lecrubier Y, Sheehan K, Amorn P, Janavs J, Weiller E, et al. The MINI International Neuropsychiatric Interview (MINI); the Development and Validation of a Structured Clinical Diagnostic Psychiatric Interview for DSM –IV and ICD-10. J Clin Psychiatry. 1998;59(20).

Ogebe O, AbdulMalik J, Bello-Mojeed M, Holder N, Jones H, O.O O, et al. Comparison of the Prevalence of Dysphoric Disorders and Comorbidity among Adolescents in the United State of America and Nigeria. J Paediatr Adolesc Gynaecol. 2011;24(6):397–483.

Okunrinboye H. The Relationship Between Depression and Medication Adherence Among Patients With Hypertension Attending Medical Out-Patient Clinic of Federal Medical Centre, Owo. A Dissertation Submitted to National Postgraduate Medical College of Nigeria. 2013.

Hilsenroth M, Ackerman S, Blagys M, Baumann B, Baity M, Smith S, et al. Reliability and Validity of DSM-IV axis V. Am J Psychiatry. 2000;157(11):1858–63.

Lasebikan VO. Validation of Yoruba Version of Family Burden Interview Schedule (Y-FBIS) on Caregivers of Schizophrenia Patients. ISRN Psychiatry [Internet]. 2012;2012:165179. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3658491&tool=pmcentrez&rendertype=abstract

Ajiboye PO, Adelekan M. A Prospective Analysis of In-patient Consultation-Liason Psychiatry In a Nigerian Teaching Hospital. East Afr Med J. 2004;81(12):620–5.

John C, Gangadhar BN, Channabasavanna S. Phenomenology of Escape from a Mental Hospital in India. Indian J Psychiatry. 1980;22:247–50.

Nurjannah I. Absconding from a Psychiatric Setting in Indonesia: A Case Study. Master Nurs Res Thesis, James Cook Univ. 2007;

Arbee F. A Retrospevtive Review of Mental Health Care Users who Abscond from Psychiatric Hospital. A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Medicine in the branch of Psychiatry. 2014.

Beer MD, Anandamurugan Muthukumaraswamy, Khan AA, Musabbir MA. Clinical predictors and patterns of absconding in a low secure challenging behaviour mental health unit _ Journal of Psychiatric Intensive Care _ Cambridge Core. J Psychiatr Intensive Care. 2009;5(2):81–7.

Westbrook AH. Mental Health Legislation and Involuntary Commitment in Nigeria : A Call for Reform. Washingt Univ Glob Study Law Rev. 2011;10(2).

Downloads

Published

2020-11-24

How to Cite

Raji, S. O., Ikeji, O., & Omoaregba , J. O. (2020). Factors associated with absconding behaviours amidst inpatients of a regional psychiatric hospital in Nigeria. The Nigerian Health Journal, 19(1), 25–36. https://doi.org/10.60787/tnhj.v19i1.427
Abtract Views | PDF Download | EPUB Download: 1109 / 122

Similar Articles

<< < 20 21 22 23 24 25 26 27 28 29 > >> 

You may also start an advanced similarity search for this article.