Christodoulou Christos, Fineti Katerina, Douzenis Athanasios, Moussas George, Michopoulos Ioannis, Lykouras Lefteris
Second Department of Psychiatry, University of Athens Medical School, 'Attikon' General Hospital, 1 Rimini Street, 124 62, Athens, Greece.
Department of Psychiatry, General Hospital of Athens 'G. Gennimatas', 154 Mesogion Avenue, 115 27, Athens, Greece.
Ann Gen Psychiatry. 2008 Aug 14;7:10. doi: 10.1186/1744-859X-7-10.
There are only a few reports on issues related to patient transfer from medical and surgical departments to the psychiatric ward by the consultation-liaison psychiatry service, although it is a common practice. Here, we present a study assessing the factors that influence such transfers.
We examined the demographic and clinical backgrounds of a group of patients transferred from internal medicine and surgery to the psychiatric ward over an 11-year period. A comparison was made of this data with data obtained from a group of non-transferred patients, also seen by the same consultation-liaison psychiatry service.
According to our findings, the typical transferred patient, either female or male, is single, divorced or widowed, lives alone, belongs to a lower socioeconomic class, presents initially with (on the whole) a disturbed and disruptive behaviour, has had a recent suicide attempt with persistent suicidal ideas, suffers from a mood disorder (mainly depressive and dysthymic disorders), has a prior psychiatric history as well as a prior psychiatric inpatient treatment, and a positive diagnosis on axis II of the five axis system used for mental health diagnosis.
The transfer of a patient to the psychiatric ward is a decision depending on multiple factors. Medical diagnoses do not seem to play a major role in the transfer to the psychiatric ward. From the psychiatric diagnosis, depressive and dysthymic disorders are the most common in the transferred population, whilst the transfer is influenced by social factors regarding the patient, the patient's behaviour, the conditions in the ward she/he is treated in and any recent occurrence(s) that increase the anxiety of the staff.
尽管通过会诊联络精神病学服务将患者从内科和外科转至精神科病房是一种常见做法，但关于这方面问题的报告却为数不多。在此，我们呈现一项评估影响此类转科因素的研究。
我们研究了一组在11年期间从内科和外科转至精神科病房的患者的人口统计学和临床背景。将这些数据与一组同样由该会诊联络精神病学服务诊治的未转科患者的数据进行了比较。
根据我们的研究结果，典型的转科患者，无论男女，多为单身、离异或丧偶，独居，社会经济地位较低，最初表现为（总体而言）行为紊乱且具有破坏性，近期有自杀未遂且持续存在自杀念头，患有情绪障碍（主要是抑郁障碍和心境恶劣障碍），有精神病史以及曾接受过精神科住院治疗，并且在用于心理健康诊断的五轴系统的轴II上有阳性诊断。
将患者转至精神科病房是一个取决于多种因素的决定。医学诊断在转至精神科病房的过程中似乎并非起主要作用。从精神科诊断来看，抑郁障碍和心境恶劣障碍在转科人群中最为常见，而转科受到与患者相关的社会因素、患者行为、其接受治疗的病房情况以及近期任何增加工作人员焦虑的事件的影响。
