In a large University Deparment of Psychiatry a retrospective analysis of 712 psychiatric expertises on fitness to drive was carried out to identify factors influencing the decision "unfit to drive". Psychological test results were identified as the most potent factors influencing this decision, whereas a psychiatric diagnosis seems to be less important. The results indicate that demographic data and history (previous psychiatric hospitalisations, previous verdict "unfit to drive") were not influential. It is concluded that today's psychiatrists, when carrying out expertises on the question of fitness to drive, do not follow previous recommendations of placing a verdict of "unfit to drive" on all persons with a psychiatric diagnosis. They obviously follow a more individualised and pragmatic approach. (A)
Abstract