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The American Journal of Drug and Alcohol Abuse
Encompassing All Addictive Disorders
Volume 30, 2004 - Issue 2
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Why Patients Sign Out Against Medical Advice (AMA): Factors Motivating Patients to Sign Out AMA

Patricia Green VAMC Medical Center, 116A, Philadelphia, Pennsylvania, 19104, USA
, C.N.A.‐B.C. , R.N. , M.S.N.,
Diane Watts VAMC Medical Center, 116A, Philadelphia, Pennsylvania, 19104, USA
, B.S.N. , R.N.,
Sabrina Poole VAMC Medical Center, 116A, Philadelphia, Pennsylvania, 19104, USA
, M.Ed. &
Vasant Dhopesh VAMC Medical Center, 116A, Philadelphia, Pennsylvania, 19104, USA
, M.D.
Pages 489-493 | Published online: 25 May 2004

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Menachem M. Sofer, Alexander Kaptsan & Jonathan Anson. (2018) Factors Associated with Unplanned Early Discharges from a Dual Diagnosis Inpatient Detoxification Unit in Israel. Journal of Dual Diagnosis 14:3, pages 137-147.
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Mohammad Ranjbar Ezzatabadi, Omolbanin Atashbahar & Sima Rafiei. (2018) Factors associated with discharge against medical advice in teaching hospitals: A case study in Iran. International Journal of Healthcare Management 11:2, pages 106-111.
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Elaine de Guise, Joanne LeBlanc, Jehane Dagher, Simon Tinawi, Julie Lamoureux, Judith Marcoux, Mohammed Maleki & Mitra Feyz. (2014) Characteristics of patients with acute traumatic brain injury discharged against medical advice in a Level 1 urban trauma centre. Brain Injury 28:10, pages 1288-1294.
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DericR. Kenne, AlecP. Boros & RebeccaL. Fischbein. (2010) Characteristics of Opiate Users Leaving Detoxification Treatment Against Medical Advice. Journal of Addictive Diseases 29:3, pages 383-394.
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Articles from other publishers (31)

Kaylyn E. Swankoski, Ashok Reddy, David Grembowski, Evelyn T. Chang & Edwin S. Wong. (2023) Intensive care management for high-risk veterans in a patient-centered medical home – do some veterans benefit more than others?. Healthcare 11:2, pages 100677.
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Asher J. Schranz, Casey Tak, Li-Tzy Wu, Vivian H. Chu, David A. Wohl & David L. Rosen. (2022) The Impact of Discharge Against Medical Advice on Readmission After Opioid Use Disorder-Associated Infective Endocarditis: a National Cohort Study. Journal of General Internal Medicine 38:7, pages 1615-1622.
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Sara Ling, Julia Davies, Beth Sproule, Martine Puts & Kristin Cleverley. (2021) Predictors of and reasons for early discharge from inpatient withdrawal management settings: A scoping review. Drug and Alcohol Review 41:1, pages 62-77.
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Parul Agarwal, Huaqing Xi, Nathalie Jette, Jung-yi Lin, Churl-Su Kwon, Mandip S. Dhamoon & Madhu Mazumdar. (2021) A nationally representative study on discharge against medical advice among those living with epilepsy. Seizure 84, pages 84-90.
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Adam Kavanagh, Jennifer Donnelly, Niall Dunne, Tom Maher, Margaret Nichol & John Creedon. (2020) Factors associated with requests for premature discharge and the decision to support a service user through the discharge against medical advice process. International Journal of Mental Health Nursing 29:4, pages 716-724.
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Krista Haines, Jennifer Freeman, Cory Vastaas, Clay Rust, Christopher Cox, George Kasotakis, Matthew Fuller, Vijay Krishnamoorthy, Michelle Siciliano, Amy Alger, Sean Montgomery & Suresh Agarwal. (2020) “I'm Leaving”: Factors That Impact Against Medical Advice Disposition Post-Trauma. The Journal of Emergency Medicine 58:4, pages 691-697.
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Yelena Averbukh, Andrea Porrovecchio & William N. Southern. (2019) Patient-controlled Analgesia For Vaso-Occlusive Crisis. The Clinical Journal of Pain 35:8, pages 686-690.
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Gunchan Paul, Nikhil Gautam, PL Gautam, Rubina Khullar Mahajan & Suresh Ragavaiah. (2019) Patients Leaving Against Medical Advice–A National Survey. Indian Journal of Critical Care Medicine 23:3, pages 143-148.
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He Zhu & Li-Tzy Wu. (2018) National trends and characteristics of inpatient detoxification for drug use disorders in the United States. BMC Public Health 18:1.
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Jarratt D. Pytell & Darius A. Rastegar. (2018) Who Leaves Early? Factors Associated With Against Medical Advice Discharge During Alcohol Withdrawal Treatment. Journal of Addiction Medicine 12:6, pages 447-452.
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Babu K. Abraham & Senthilkumar Rajagopalan. (2018) What happens to patients discharged against medical advice?. Indian Journal of Critical Care Medicine 22:8, pages 580-584.
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Helen-Maria Lekas. 2018. Against‐Medical‐Advice Discharges from the Hospital. Against‐Medical‐Advice Discharges from the Hospital 53 71 .
Madhuram Nagarajan, Ada Ibe Offurum, Mangla Gulati & Eberechukwu Onukwugha. 2018. Against‐Medical‐Advice Discharges from the Hospital. Against‐Medical‐Advice Discharges from the Hospital 11 29 .
Armand H. Matheny Antommaria. 2018. Against‐Medical‐Advice Discharges from the Hospital. Against‐Medical‐Advice Discharges from the Hospital 143 157 .
David Alfandre, Jay Brenner & Eberechukwu Onukwugha. (2017) Against Medical Advice Discharges. Journal of Hospital Medicine 12:10, pages 843-845.
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Ishan Shah, Samrat Ray, Siddharth Mehrotra, Shailendra Lalwani, Vivek Mangla, Amitabh Yadav, Naimish Mehta & Samiran Nundy. (2017) Why do people leave against medical advice and what happens to them later? A study on 50 consecutive patients in India. Current Medicine Research and Practice 7:5, pages 169-173.
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Helen-Maria Lekas, David Alfandre, Peter Gordon, Katherine Harwood & Michael T. Yin. (2016) The role of patient-provider interactions: Using an accounts framework to explain hospital discharges against medical advice. Social Science & Medicine 156, pages 106-113.
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Caroline Holleck Kahle, Myra L. Rubio & Richard A. Santos. (2015) Discharges Against Medical Advice. Hospital Medicine Clinics 4:3, pages 421-429.
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Bioku Muftau Jimoh, Obalim-Chris Anthonia, Igwilo Chinwe, Adewumi Oluwafemi, Aremu Ganiyu, Adamu Haroun, Eziechila Chinwe & Aiyekomogbon Joshua. (2015) Prospective Evaluation of Cases of Discharge against Medical Advice in Abuja, Nigeria. The Scientific World Journal 2015, pages 1-4.
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Rosanne M. Radziewicz, Anastasia Driscoll & Mallika Lavakumar. (2014) Assessment and management of patients who lack decision-making capacity. The Nurse Practitioner 39:3, pages 11-15.
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David Alfandre. (2013) Reconsidering Against Medical Advice Discharges: Embracing Patient-Centeredness to Promote High Quality Care and a Renewed Research Agenda. Journal of General Internal Medicine 28:12, pages 1657-1662.
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Jason Edwards, Ronald Markert & Dean Bricker. (2013) Discharge against medical advice: How often do we intervene?. Journal of Hospital Medicine 8:10, pages 574-577.
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Adel Youssef. (2012) Factors associated with discharge against medical advice in a Saudi teaching hospital. Journal of Taibah University Medical Sciences 7:1, pages 13-18.
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Farzaneh Shirani, Mohammad Jalili & Hossein Asl-e-Soleimani. (2010) Discharge against medical advice from emergency department: results from a tertiary care hospital in Tehran, Iran. European Journal of Emergency Medicine 17:6, pages 318-321.
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Carlton HaywoodJrJr, Sophie Lanzkron, Neda Ratanawongsa, Shawn M. Bediako, Lakshmi Lattimer‐Nelson & Mary Catherine Beach. (2010) Hospital self‐discharge among adults with sickle‐cell disease (SCD): Associations with trust and interpersonal experiences with care. Journal of Hospital Medicine 5:5, pages 289-294.
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David J. Alfandre. (2009) “I'm Going Home”: Discharges Against Medical Advice. Mayo Clinic Proceedings 84:3, pages 255-260.
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Donna M. Windish & Neda Ratanawongsa. (2008) Providers’ Perceptions of Relationships and Professional Roles when Caring for Patients who Leave the Hospital Against Medical Advice. Journal of General Internal Medicine 23:10, pages 1698-1707.
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Jeffrey T. Berger. (2008) Discharge against medical advice: Ethical considerations and professional obligations. Journal of Hospital Medicine 3:5, pages 403-408.
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A. Abdulrasheed Nasir & O. Misbaudeen Babalola. (2008) Clinical spectrum of discharges against medical advice in a developing country. Indian Journal of Surgery 70:2, pages 68-72.
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Kevin Fiscella, Sean Meldrum & Peter Franks. (2007) Post Partum Discharge Against Medical Advice: Who Leaves and Does it Matter?. Maternal and Child Health Journal 11:5, pages 431-436.
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Alan P. Baptist, Indulekha Warrier, Rachna Arora, Joel Ager & R. Michael Massanari. (2007) Hospitalized patients with asthma who leave against medical advice: Characteristics, reasons, and outcomes. Journal of Allergy and Clinical Immunology 119:4, pages 924-929.
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