McLenan Judith, Lazzari Carlo, McMillan Gail, Mackie Robert
Urgent Referrals Team, Royal Cornhill Hospital, Cornhill Road, Aberdeen, AB25 2ZH United Kingdom.
General Adult Psychiatry, North Essex Partnership University NHS Foundation Trust, The King's Wood Centre, Colchester, United Kingdom.
Iran J Psychiatry. 2016 Oct;11(4):201-205.
The aim of this study was to evaluate the type, severity and progression of psychiatric pathologies in a sample of 372 outpatients (age range 18-65 years) referred by their primary general practitioners (GPs) to an Urgent Referral Team (URT) based in a psychiatric hospital in Aberdeen, Scotland. This team offers immediate appointments (1- to 7-day delays) for rapid assessments and early interventions to the outpatients referred by their primary family doctors. One-sample t-test and z statistic were used for data analysis. From the total population, a convenience sample of 40 people was selected and assessed to evaluate whether follow-up appointments after the first visit could reduce the severity of suicidal ideation, depression and anxiety in the outpatients seen by the URT. A two-sample t-test and a Wilcoxon signed-rank test were used to assess the variations in the scores during the follow-up visits. We found a statistically significant prevalence of depressive disorders, comorbid with anxiety at first presentation in people who were females, white, never married, living with a partner, not studying and not in paid employment. The common presentation of borderline personality disorder and dysthymia in this population underscores its vulnerability to major socioeconomic challenges. : The data confirmed the impact that primary care cooperation with psychiatric hospitals can have on the psychiatric system, and as a reflection, on the population's mental health and well-being. In fact, active cooperation and early diagnosis and intervention will help detect cases at risk in the general population and reduce admissions into hospitals.
本研究的目的是评估372名门诊患者（年龄范围为18至65岁）的精神病理学类型、严重程度和进展情况，这些患者由其初级全科医生（GP）转介至位于苏格兰阿伯丁一家精神病医院的紧急转诊团队（URT）。该团队为初级家庭医生转介的门诊患者提供即时预约（延迟1至7天），以便进行快速评估和早期干预。数据分析采用单样本t检验和z统计量。从总体人群中，选取了40人的便利样本进行评估，以评估首次就诊后的随访预约是否可以降低URT所诊治门诊患者的自杀意念、抑郁和焦虑的严重程度。采用双样本t检验和Wilcoxon符号秩检验来评估随访期间分数的变化。我们发现，在首次就诊时，女性、白人、从未结婚、与伴侣同居、未上学且无带薪工作的人群中，抑郁症合并焦虑症的患病率具有统计学意义。该人群中边缘性人格障碍和心境恶劣的常见表现突出了其在面对重大社会经济挑战时的脆弱性。数据证实了初级保健与精神病医院的合作对精神科系统可能产生的影响，进而反映出对人群心理健康和幸福感的影响。事实上，积极的合作以及早期诊断和干预将有助于在普通人群中发现有风险的病例，并减少住院人数。
