The inpatient psychiatric unit as both a safe and unsafe place: implications for absconding

Eimear Muir-Cochrane, Candice Oster, Jessica Grotto, Adam Gerace, Julia Jones

Research output: Contribution to journalArticlepeer-review

50 Citations (Scopus)


Absconding from acute psychiatric inpatient units is a significant issue with serious social, economic, and emotional costs. A qualitative study was undertaken to explore the experiences of people (n = 12) who had been held involuntarily under the local mental health act in an Australian inpatient psychiatric unit, and who had absconded (or attempted to abscond) during this time. The aim of the study was to explore why people abscond from psychiatric inpatient units, drawing on published work from health geography on the significance of the person-place encounter, and in particular the concept of 'therapeutic landscapes'. The findings show that the inpatient unit is perceived as a safe or unsafe place, dependent on the dialectical relationship between the physical, individual, social, and symbolic aspects of the unit. Consumers absconded when the unit was perceived as unsafe. Forming a therapeutic relationship with staff, familiarity with the unit, a comfortable environment, and positive experiences with other consumers all supported perceptions that the unit was safe, decreasing the likelihood of absconding. Findings extend existing work on the person-place encounter within psychiatric inpatient units, and bring new knowledge about the reasons why consumers abscond. Implications for practice are discussed.

Original languageEnglish
Pages (from-to)304-312
Number of pages9
JournalInternational Journal of Mental Health Nursing
Issue number4
Publication statusPublished - 25 Sept 2012


  • Adult
  • Attitude
  • Australia
  • Commitment of Mentally Ill
  • Female
  • Humans
  • Interview, Psychological
  • Male
  • Mental Disorders
  • Motivation
  • Nurse-Patient Relations
  • Patient Safety
  • Patient Satisfaction
  • Psychotic Disorders
  • Risk Factors
  • Social Environment
  • Suicide, Attempted
  • Symbolism
  • Therapeutic Community
  • Treatment Refusal
  • Journal Article
  • Research Support, Non-U.S. Gov't


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