通过对2011—2015年在萧山医院精神科病房的流浪精神病人收治和出院情况的调查，发现存在“被精神病”风险，无监护人状态下病人权益保障和监督机制缺失，病人长期滞留病房等伦理困境。建议建立流浪精神病人权利保障与监督委员会，通过纠错机制减少误诊或“被精神病”现象发生；保障恰当的诊疗和生活照顾；为滞留病人创造出路等，保障流浪精神病人的基本权益，达到减少精神残疾，避免再度流浪的目的，从而完善社会管理体系。%Through investigating the hospital admission and hospital discharge of vagrant mental patients in Xi-aoshan Hospital from January 2011 to December 2015 , the present study found that there existed some ethical di-lemmas including the risk of"diagnosing mental disorder but actually not", lack of the guarantee of patients' rights and interests and supervision mechanism without guardian, long-term retention in the wards, and so on. It is sug-gested to establish right protection and supervision committee for vagrant mental patients, reduce the misdiagnosis of"diagnosing mental disorder but actually not" through the error correction mechanism, ensure proper treatment and care, create retention way, protect the basic rights of the vagrant mental patients, reduce mental disability, avoid to stray again, so as to perfect the social management system.
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