Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative

作者：Wells, J. Elisabeth^*; Browne, Mark Oakley; Aguilar-Gaxiola, Sergio; Al-Hamzawi, Ali; Alonso, Jordi; Angermeyer, Matthias C.; Bouzan, Colleen; Bruffaerts, Ronny; Bunting, Brendan; Caldas-de-Almeida, Jose Miguel; de Girolamo, Giovanni; de Graaf, Ron; Florescu, Silvia; Fukao, Akira; Gureje, Oye; Hinkov, Hristo Ruskov; Hu, Chiyi; Hwang, Irving; Karam, Elie G.; Kostyuchenko, Stanislav; Kovess-Masfety, Viviane; Levinson, Daphna; Liu, Zhaorui; Elena Medina-Mora, Maria; Nizamie, S. Hague

来源：The British Journal of Psychiatry, 2013, 202(1): 42-49.

DOI：10.1192/bjp.bp.112.113134

• DISORDERS
• PSYCHOTHERAPY
• SERVICES
• TERMINATION
• PREVALENCE
• ONSET

Background @@@ Previous community surveys of the drop out from mental health treatment have been carried out only in the USA and Canada. @@@ Aims @@@ To explore mental health treatment drop out in the World Health Organization World Mental Health Surveys. @@@ Method @@@ Representative face-to-face household surveys were conducted among adults in 24 countries. People who reported mental health treatment in the 12 months before interview (n=8482) were asked about drop out, defined as stopping treatment before the provider wanted. @@@ Results @@@ Overall, drop out was 31.7%: 26.3% in high-income countries, 45.1% in upper-middle-income countries, and 37.6% in low/lower-middle-income countries. Drop out from psychiatrists was 21.3% overall and similar across country income groups (high 20.3%, upper-middle 23.6%, low/lower-middle 23.8%) but the pattern of drop out across other sectors differed by country income group. Drop out was more likely early in treatment, particularly after the second visit. @@@ Conclusions @@@ Drop out needs to be reduced to ensure effective treatment.

• 出版日期2013-1
• 单位北京大学; 深圳市精神卫生中心