Premium
Absconding: A review of the literature 1996–2008
Author(s) -
MuirCochrane Eimear,
Mosel Krista A.
Publication year - 2008
Publication title -
international journal of mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.911
H-Index - 54
eISSN - 1447-0349
pISSN - 1445-8330
DOI - 10.1111/j.1447-0349.2008.00562.x
Subject(s) - harm , psychosocial , psychological intervention , aggression , neglect , medicine , poison control , suicide prevention , psychiatry , systematic review , occupational safety and health , injury prevention , human factors and ergonomics , psychology , medline , environmental health , social psychology , pathology , political science , law
Absconding is a significant problem with potential for harm to patients or the general public. The consequences of absconding include physical harm, prolonged treatment time, and substantial economic costs. The aim of this systematic literature review is to synthesize quality literature about absconding from psychiatric facilities, identify gaps in knowledge, and make recommendations for practice. An electronic search yielded 39 journal articles that met the review criteria. Findings demonstrate that a single definition of absconding remains elusive, making the prevalence of absconding difficult to establish. Absconding events are multifactorial, with environmental, psychosocial, and organic aspects. Negative consequences exist including violence, aggression, and self‐neglect and harm to self and others. Papers are clustered around the following themes: harm and risk, absconder profiles, absconding rates, and perceptions of nurses and patients. Nursing interventions designed to decrease absconding have been implemented with success, but only in a few studies and in Australia, none have been reported in the literature to date. Further research is required to identify appropriate nursing‐based interventions that may prove useful in reducing the risk of absconding.