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  1. Why do so few patients appeal against detention under section 2 of the mental health act ?

    Article - En anglais


    To determine why most patients do not exercise their right of appeal against detention under section 2 of the Mental Health Act 1983.

    Design-Part one-retrospective analysis of the clinical notes of patients detained under section 2 of the Mental Health Act.

    Part two-interviews with patients on the penultimate day before the deadline for lodging an appeal.

    Setting-In part one, five districts in the Oxfordshire Regional Health Authority.

    In part two, six hospitals from three districts in the region.

    Subjects-In part one all patients detained under section 2 in the five districts in 1993 (n=418).

    In part two interviews with 40 patients detained under section 2 in the six hospitals.


    Patients were more likely to appeal if they were educated to level standard (odds=2.26 ; P=0.0014) or had had a previous admission (2.19, P=0.0029).

    Patients with a diagnosis of depression (0.31 ; P=0.015) or dementia (0.0003, P=0.0001) were less likely to appeal.

    Compared with those who appealed (n=12) those who did not (n=28) showed less understanding of their rights (P=0.034) and poorer comprehension of sentences from the booklet describing patients'rights (P=0.057).

    The main reasons given for not appealing were not being aware of the appeals process and being deferred by having to appeal in writing.

    After they received a full explanation of their rights 12 of those who did not appeal said that they wished to appeal and four did so within the time remaining before the deadline.

    Mots-clés Pascal : Législation, Internement, Homme, Appel procédure, Psychiatrie

    Mots-clés Pascal anglais : Legislation, Mentally ill commitment, Human, Procedure call, Psychiatry

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0176021

    Code Inist : 002B30A09. Création : 09/06/1995.