[Reasons for referral to a gerontopsychiatric department].

BACKGROUND

The need of specific gerontopsychiatric wards has not been estimated thus far, although psychiatric disorders are very common among the elderly.

AIM

The purpose of this study was to describe reasons for referral of old patients to a psychiatric department providing full services for 252,000 inhabitants.

METHODS

All 975 admissions within 2 years were evaluated in this prospective study.

RESULTS

During the study period 645 patients aged over 64 years were admitted 830 times to the gerontopsychiatric wards. About half of them were referred by physicians in private practice, about 30% came via the emergency room, and 18% were transferred from other departments or hospitals. The most frequent reasons for referral were disorientation, confusion, or delirious states (31.9%), hallucinations or delusion (21.6%), aggression or excitation (17.7%), depression (17.6%), refusal of feeding or drinking (14.4%), agitation or restlessness (13.9%), suicidality or suicide attempt (13.3%), and disruptive behaviour (13.0%). In 81.8% of the cases, behaviour endangering themselves or others was an important cause of referral. The amount of specific gerontopsychiatric beds needed in hospital was estimated as ten beds per 10,000 inhabitants aged 65 or more.

CONCLUSIONS

The greatest proportion of the patients referred to gerontopsychiatric wards showed behaviour endangering themselves or others-typical indications for psychiatric inpatient treatment.