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Discharged from a mental health admission ward: is it safe to go home? A review on the negative outcomes of psychiatric hospitalization

Authors Loch AA

Published Date April 2014 Volume 2014:7 Pages 137—145

DOI http://dx.doi.org/10.2147/PRBM.S35061

Received 21 January 2014, Accepted 6 March 2014, Published 28 April 2014

Alexandre Andrade Loch

Laboratory of Neurosciences, Department and Institute of Psychiatry, University of São Paulo, Brazil

Abstract: Before psychiatry emerged as a medical discipline, hospitalizing individuals with mental disorders was more of a social stigmatizing act than a therapeutic act. After the birth of the mental health disciplines, psychiatric hospitalization was legitimized and has proven to be indispensable, preventing suicides and helping individuals in need. However, despite more than a century passing since this legitimization occurred, psychiatric hospitalization remains a controversial issue. There is the question of possible negative outcomes after a psychiatric admission ceases to take its protective effect, and even of whether the psychiatric admission itself is related to a negative setback after discharge. This review aims to summarize some of the most important negative outcomes after discharge from a psychiatric institution. These experiences were organized into two groups: those after a brief psychiatric hospitalization, and those after a long-stay admission. The author further suggests possible ways to minimize these adversities, emphasizing the need of awareness related to this important issue.

Keywords: suicide, stigma, rehabilitation, relapse, rehospitalisation

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