{"id":"https://openalex.org/W142398652","doi":"https://doi.org/","title":"Patients leaving against medical advice: an inpatient psychiatric hospital-based study.","display_name":"Patients leaving against medical advice: an inpatient psychiatric hospital-based study.","publication_year":2013,"publication_date":"2013-05-01","ids":{"openalex":"https://openalex.org/W142398652","doi":"https://doi.org/","mag":"142398652","pmid":"https://pubmed.ncbi.nlm.nih.gov/23673174"},"language":"en","primary_location":{"id":"pmid:23673174","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23673174","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the College of Physicians and Surgeons--Pakistan : JCPSP","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108819389","display_name":"Aalia Akhtar Hayat","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801594968","display_name":"Benazir Bhutto Hospital","ror":"https://ror.org/052afx753","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I2801594968"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Aalia Akhtar Hayat","raw_affiliation_strings":["Institute of Psychiatry, Benazir Bhutto Hospital, Rawalpindi. aaliah_hayat@hotmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Psychiatry, Benazir Bhutto Hospital, Rawalpindi. aaliah_hayat@hotmail.com","institution_ids":["https://openalex.org/I2801594968"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072919042","display_name":"Muhammad Munir Ahmed","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Muhammad Munir Ahmed","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"Fareed Aslam Minhas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Fareed Aslam Minhas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.9711,"has_fulltext":false,"cited_by_count":25,"citation_normalized_percentile":{"value":0.76958107,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"23","issue":"5","first_page":"342","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.7788000106811523,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.7788000106811523,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.18700000643730164,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.00989999994635582,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/leaving-against-medical-advice","display_name":"leaving against medical advice","score":0.9940000176429749},{"id":"https://openalex.org/keywords/psychiatric-inpatients","display_name":"psychiatric inpatients","score":0.9660000205039978},{"id":"https://openalex.org/keywords/psychiatric-hospital-discharge","display_name":"psychiatric hospital discharge","score":0.6919999718666077},{"id":"https://openalex.org/keywords/patient-nonadherence","display_name":"patient non-adherence","score":0.5889999866485596},{"id":"https://openalex.org/keywords/substance-abuse","display_name":"substance abuse","score":0.8820000290870667},{"id":"https://openalex.org/keywords/socioeconomic-factors","display_name":"socioeconomic factors","score":0.7549999952316284},{"id":"https://openalex.org/keywords/rawalpindi","display_name":"Rawalpindi","score":0.6769999861717224}],"concepts":[{"id":"https://openalex.org/C3019691859","wikidata":"https://www.wikidata.org/wiki/Q4691063","display_name":"Against medical advice","level":2,"score":0.850744366645813},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7954535484313965},{"id":"https://openalex.org/C2776510742","wikidata":"https://www.wikidata.org/wiki/Q6806456","display_name":"Medical advice","level":2,"score":0.5135284066200256},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.49994373321533203},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4886189103126526},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3457142114639282},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3374382555484772},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.14040586352348328},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006778","descriptor_name":"Hospitals, Psychiatric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010349","descriptor_name":"Patient Compliance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D016312","descriptor_name":"Treatment Refusal","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D017677","descriptor_name":"Age Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:23673174","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23673174","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the College of Physicians and Surgeons--Pakistan : JCPSP","raw_type":"Journal Article"},{"id":"mag:142398652","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23673174","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W195598594","https://openalex.org/W1966359965","https://openalex.org/W1984818942","https://openalex.org/W2003248523","https://openalex.org/W2031537917","https://openalex.org/W2034231046","https://openalex.org/W2035078493","https://openalex.org/W2036364169","https://openalex.org/W2036759432","https://openalex.org/W2037353718","https://openalex.org/W2041681390","https://openalex.org/W2066280532","https://openalex.org/W2070877134","https://openalex.org/W2073195348","https://openalex.org/W2085800405","https://openalex.org/W2095485151","https://openalex.org/W2149849362","https://openalex.org/W2183141991","https://openalex.org/W2183570023","https://openalex.org/W2401761234","https://openalex.org/W2411278911","https://openalex.org/W2417447813"],"related_works":["https://openalex.org/W3074181930","https://openalex.org/W4308011742","https://openalex.org/W2048753022","https://openalex.org/W2911184157","https://openalex.org/W2038207099","https://openalex.org/W4411382112","https://openalex.org/W2759022327","https://openalex.org/W4411540244","https://openalex.org/W2071945533","https://openalex.org/W2089713033"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"determine":[2,71],"the":[3,112,164,216],"frequency":[4],"of":[5,31,52,54,58,74,107,132,167,173,181,192,212],"patients":[6,133,174],"leaving":[7,75],"against":[8,117,136,198],"medical":[9,118,137,199],"advice":[10,119,138,200],"(LAMA)":[11,120],"in":[12,17,144,205],"an":[13],"inpatient":[14],"psychiatric":[15,182,194,206],"facility":[16],"Rawalpindi,":[18,36],"Pakistan.":[19],"STUDY":[20],"DESIGN:":[21],"Descriptive":[22,95],"cross-sectional":[23],"study.":[24],"PLACE":[25],"AND":[26],"DURATION":[27],"OF":[28],"STUDY:":[29],"Institute":[30],"Psychiatry,":[32],"Benazir":[33],"Bhutto":[34],"Hospital,":[35],"from":[37],"August":[38],"2010":[39],"to":[40,70,141],"February":[41],"2011.":[42],"METHODOLOGY:":[43],"Patients":[44],"who":[45,134,175],"got":[46],"admitted":[47],"during":[48],"study":[49],"period":[50],"irrespective":[51],"duration":[53],"illness":[55,183],"and":[56,66,82,91,162,184,208],"mode":[57,73],"admission":[59],"were":[60,97,159],"recruited":[61],"through":[62],"non-probability":[63],"consecutive":[64],"sampling":[65],"followed":[67],"till":[68],"discharge":[69,127],"their":[72],"hospital.":[76],"A":[77],"thirteen-item":[78],"proforma":[79],"was":[80,84,109,139],"developed":[81],"information":[83],"obtained":[85],"on":[86,99,125,128],"demographic,":[87],"socioeconomic,":[88],"patient":[89],"related":[90,93],"disease":[92],"variables.":[94],"statistics":[96],"calculated":[98],"SPSS":[100],"14.":[101],"RESULTS:":[102],"The":[103],"total":[104],"number":[105,187],"(n)":[106],"participants":[108],"246.":[110],"Among":[111],"participants,":[113],"96":[114],"(39%)":[115],"left":[116,124,135],"whereas":[121],"150":[122],"(61%)":[123],"regular":[126],"physician's":[129],"advice.":[130],"Frequency":[131],"found":[140],"be":[142],"more":[143],"males":[145],"(63.5%),":[146],"younger":[147],"age":[148],"groups":[149],"(21":[150],"-":[151],"30":[152],"years),":[153],"lesser":[154],"educated":[155],"(more":[156],"than":[157],"half":[158,172],"under":[160],"matric)":[161],"with":[163],"ICD-10":[165],"diagnosis":[166],"substance":[168],"abuse":[169],"(23.9%).":[170],"About":[171],"LAMA":[176],"had":[177,189],"a":[178,185,190,202,210],"prior":[179],"history":[180,191],"significant":[186],"(37.5%)":[188],"previous":[193],"admission.":[195],"CONCLUSION:":[196],"Leaving":[197],"is":[201,209],"frequent":[203],"problem":[204],"inpatients":[207],"matter":[211],"great":[213],"concern":[214],"for":[215],"treating":[217],"doctors.":[218]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":2},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
