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J R Soc Med. 1989 July; 82(7): 410–412.
PMCID: PMC1292206

Prevalence, detection and referral of psychiatric morbidity in general medical patients.

Abstract

Twenty seven per cent of medical emergency admissions were found to have diagnosable psychiatric disorders, mostly mild. Although ward staff assessed 31.1% of admissions as having emotional or psychological problems, only a minority had diagnosable psychiatric disorders. Few patients were referred for specialist psychiatric help. This partly reflected the milder nature of problems identified by ward staff, and partly indifference to psychiatry.

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Selected References

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  • Maguire GP, Julier DL, Hawton KE, Bancroft JH. Psychiatric morbidity and referral on two general medical wards. Br Med J. 1974 Feb 16;1(5902):268–270. [PMC free article] [PubMed]
  • Moffic HS, Paykel ES. Depression in medical in-patients. Br J Psychiatry. 1975 Apr;126:346–353. [PubMed]
  • Hughes JE, Barraclough BM, Hamblin LG, White JE. Psychiatric symptoms in dermatology patients. Br J Psychiatry. 1983 Jul;143:51–54. [PubMed]
  • Lloyd GG, Cawley RH. Distress or illness? A study of psychological symptoms after myocardial infarction. Br J Psychiatry. 1983 Feb;142:120–125. [PubMed]
  • Bridges KW, Goldberg DP. Psychiatric illness in inpatients with neurological disorders: patients' views on discussion of emotional problems with neurologists. Br Med J (Clin Res Ed) 1984 Sep 15;289(6446):656–658. [PMC free article] [PubMed]
  • Bukberg J, Penman D, Holland JC. Depression in hospitalized cancer patients. Psychosom Med. 1984 May-Jun;46(3):199–212. [PubMed]
  • QUERIDO A. Forecast and follow-up an investigation into the clinical, social, and mental factors determining the results of hospital treatment. Br J Prev Soc Med. 1959 Jan;13(1):33–49. [PMC free article] [PubMed]
  • Hawton K. The long-term outcome of psychiatric morbidity detected in general medical patients. J Psychosom Res. 1981;25(3):237–243. [PubMed]
  • Brody DS. Physician recognition of behavioral, psychological, and social aspects of medical care. Arch Intern Med. 1980 Oct;140(10):1286–1289. [PubMed]
  • Knights EB, Folstein MF. Unsuspected emotional and cognitive disturbance in medical patients. Ann Intern Med. 1977 Dec;87(6):723–724. [PubMed]
  • DePaulo JR, Jr, Folstein MF. Psychiatric disturbances in neurological patients: detection, recognition, and hospital course. Ann Neurol. 1978 Sep;4(3):225–228. [PubMed]
  • Lipowski ZJ. Review of consultation psychiatry and psychosomatic medicine. II. Clinical aspects. Psychosom Med. 1967 May-Jun;29(3):201–224. [PubMed]
  • Sensky T, Cundy T, Greer S, Pettingale K. Referrals to psychiatrists in a general hospital--comparison of two methods of liaison psychiatry: preliminary communication. J R Soc Med. 1985 Jun;78(6):463–468. [PMC free article] [PubMed]
  • Brown A, Cooper AF. The impact of a liaison psychiatry service on patterns of referral in a general hospital. Br J Psychiatry. 1987 Jan;150:83–87. [PubMed]
  • Goldberg DP, Cooper B, Eastwood MR, Kedward HB, Shepherd M. A standardized psychiatric interview for use in community surveys. Br J Prev Soc Med. 1970 Feb;24(1):18–23. [PMC free article] [PubMed]
  • Goldberg D. Identifying psychiatric illness among general medical patients. Br Med J (Clin Res Ed) 1985 Jul 20;291(6489):161–162. [PMC free article] [PubMed]
  • DePaulo JR, Folstein MF, Gordon B. Psychiatric screening on a neurological ward. Psychol Med. 1980 Feb;10(1):125–132. [PubMed]
  • Lloyd GG. Whence and whither 'liason' psychiatry? Psychol Med. 1980 Feb;10(1):11–14. [PubMed]
  • Skuse D, Williams P. Screening for psychiatric disorder in general practice. Psychol Med. 1984 May;14(2):365–377. [PubMed]
  • Williams P, Tarnopolsky A, Hand D. Case definition and case identification in psychiatric epidemiology: review and assessment. Psychol Med. 1980 Feb;10(1):101–114. [PubMed]
  • Mayou R, Hawton K. Psychiatric disorder in the general hospital. Br J Psychiatry. 1986 Aug;149:172–190. [PubMed]

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