Minhas Ayesha, Bender Keith G, Minhas Fareed A
Consultant Child and Adolescent Psychiatrist, Institute of Psychiatry, Rawalpindi, Pakistan.
Head of Clinical Service, City Community Mental Health, Perth, Western Australia, email keith.
BJPsych Int. 2015 May 1;12(RESEARCH):S1-S3. doi: 10.1192/s205647400000074x. eCollection 2015 May.
The paper reports a descriptive survey of the referrals received by a new psychiatric liaison service in Rawalpindi in the first 2 years. The survey showed a rapid increase in use of the service, particularly by the emergency department. There was a lower proportion of referrals for self-harm and substance misuse than occurs in similar services in high-income countries but a higher proportion of patients presenting with dissociative (conversion) disorders. The large proportion of patients who had abnormal findings on physical examination remains unexplained and warrants further investigation.
该论文报告了对拉瓦尔品第一家新的精神科联络服务机构在头两年所接收转诊病例的描述性调查。调查显示该服务的使用迅速增加,尤其是急诊科的使用。与高收入国家类似服务相比,自残和药物滥用的转诊比例较低,但分离(转换)障碍患者的比例较高。体格检查有异常发现的患者比例很高,原因不明,值得进一步调查。