Psychiatric consultations in a university teaching hospital.
To study psychiatric consultations in a university teaching general hospital.
A longitudinal prospective study of consecutive series of psychiatric consultations, over 28 months, from the non psychiatric in patient departments of King Fahd Hospital of the University, Eastern Saudi Arabia.
A sample of consecutive 97 psychiatric consultations using direct interviewing and semistructured interview for psychiatric assessment.
The psychiatric consultation rate was 0.49% of total hospital admissions.
The majority were Saudis (78.4%). Females out numbered males.
Most subjects were married (50.5%), below the age of 35 years (46.4%) and the highest consultations were from medical departments.
The most common reason for consultation was evaluation for probable psychiatric disorder (60.8%). Organic mental disorders (25.8%) and adjustment disorders (21.6%) were predominant, whereas 12% had no psychiatric disorders.
The most frequent interactions between physical and psychiatric disorders were cerebral complications of physical disease (26.8%) then psychological reactions to the physical disorder (25.8%). Psychotherapy and pharmacotherapy or both were the most common management.
The majority required no further action, and less than a third were offered outpatient psychiatric follow up and minority (4.1%) were admitted to the psychiatric unit. (...)
Mots-clés Pascal : Consultation psychiatrique, Etude longitudinale, Centre hospitalier universitaire, Prévalence, Etiologie, Relation médecin malade, Qualité service, Homme, Arabie Saoudite, Asie, Psychiatrie liaison, Psychiatrie
Mots-clés Pascal anglais : Psychiatric consultation, Follow up study, Teaching hospital, Prevalence, Etiology, Physician patient relation, Service quality, Human, Saudi Arabia, Asia, Liaison psychiatry, Psychiatry
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0499959
Code Inist : 002B18A. Création : 19/02/1999.