A multicenter investigation of consultation-liaison psychiatry in Italy.
In order to evaluate the extent and quality of consultation-liaison (C-L) activity in Italy, a multicenter investigation was conducted in 17 general hospitals.
All of the hospitalized patients referred to C-L psychiatry during a 1-year period were assessed by means ofa specific instrument (Patient Registration Form, PRF-SF).
Of 518,212 patients, 4182 were referred to C-L services (referral rate=0.72%). Typical consultations were for female patients (60.1%), admitted to medical wards (71.5%), aged 55-75 years.
Most interventions were carried out within 2 days ; a minority (22%) were urgent requests.
Gastrointestinal and cardiovascular disorders, and unexplained medical symptoms were the most frequent ICD-9 somatic diagnoses at admission.
One-third of the patients were not informed of having been referred to C-L and half of them had a lifetime history of psychiatric disturbances.
Most frequent ICD-10 psychiatric diagnoses were neurotic, stress-related, and somatoform syndromes (33.1%), affective syndromes (19.4%), and organic mental syndromes (10.7%). Two-thirds of the patients were given only one consultation whereas the reminder received two to four follow-up visits.
The rate of transfer to psychiatric wards was low (2.1%). Psychopharmacological treatment was suggested in 65% of cases, and 75.5% of the patients were referred to community psychiatric care at discharge.
Mots-clés Pascal : Consultation psychiatrique, Psychiatrie liaison, Hôpital général, Environnement social, Italie, Europe, Efficacité traitement, Prévalence, Diagnostic, Trouble psychiatrique, Facteur sociodémographique, Santé mentale, Homme
Mots-clés Pascal anglais : Psychiatric consultation, Liaison psychiatry, General hospital, Social environment, Italy, Europe, Treatment efficiency, Prevalence, Diagnosis, Mental disorder, Sociodemographic factor, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0488512
Code Inist : 002B18I09. Création : 22/03/2000.