Mayou R, Hawton K, Feldman E
University Department of Psychiatry, Warneford Hospital, Oxford, U.K.
J Psychosom Res. 1988;32(4-5):541-9. doi: 10.1016/0022-3999(88)90038-4.
Medical, psychiatric and social outcome were examined in medical in-patients previously identified as suffering from psychiatric disorder. One third of patients with an affective (emotional) disorder on admission were still psychiatrically ill four months after discharge. Persistent disorder was associated with continuing physical illness. During the year following admission those with affective disorder on admission continued to make greater demands on medical, social and psychiatric services than matched controls and had double the mortality rate (not significant). Patients with organic mental states on admission had a high mortality and morbidity, and made considerable continuing use of general hospital social and psychiatric services. Improved recognition of psychiatric disorder during hospital admission could result in better overall care of medical patients' psychiatric and social difficulties and more effective use of medical resources.
对先前被认定患有精神障碍的内科住院患者的医疗、精神和社会预后进行了检查。入院时患有情感（情绪）障碍的患者中有三分之一在出院四个月后仍患有精神疾病。持续性障碍与持续的身体疾病有关。在入院后的一年里，入院时患有情感障碍的患者对医疗、社会和精神服务的需求持续高于匹配的对照组，死亡率是对照组的两倍（无统计学意义）。入院时患有器质性精神状态的患者死亡率和发病率较高，并持续大量使用综合医院的社会和精神服务。在住院期间提高对精神障碍的识别能力，可能会使内科患者的精神和社会困难得到更好的整体护理，并更有效地利用医疗资源。
