Mayou R, Hawton K
Br J Psychiatry. 1986 Aug;149:172-90. doi: 10.1192/bjp.149.2.172.
There have been many reports of psychiatric disorder in medical populations, but few have used standard methods on representative patient groups. Even so, there is consistent evidence for considerable psychiatric morbidity in in-patient, out-patient and casualty department populations, much of which is unrecognised by hospital doctors. We require a better classification of psychiatric disorder in the general hospital, improved research measures, and more evidence about the nature and course of the many different types of problem so that we can provide precise advice for their management of routine clinical practice.
已有许多关于医疗人群中精神障碍的报告，但很少有研究对具有代表性的患者群体采用标准方法。即便如此，仍有一致的证据表明，住院患者、门诊患者和急诊科患者中存在相当多的精神疾病，其中许多未被医院医生识别。我们需要对综合医院中的精神障碍进行更好的分类，改进研究方法，并获取更多关于许多不同类型问题的性质和病程的证据，以便我们能够为常规临床实践中的管理提供精确建议。
