Hattori T
Folia Psychiatr Neurol Jpn. 1985;39(2):115-20. doi: 10.1111/j.1440-1819.1985.tb02894.x.
A total of 164 (47%) out of 350 new psychiatric patients in a general hospital in Japan were those referred to psychiatric consultation. In 47% of the cases, concurrent physical and psychiatric disorders were reported. In the referred patients, neurosis (38%) was the most common psychiatric disorder, followed by other nonorganic psychoses (9%), schizophrenic psychoses (8%), alcoholic psychoses (8%), transient organic psychotic conditions (7%), affective psychoses (6%) and others. The high frequency of psychiatric emergency cases (23%) including cases with suicide attempts (12%) indicated that psychiatrists play an important role in psychiatric emergency crisis intervention in the general hospital emergency service. In suicide attempts, depression was most prominent, but schizophrenic psychoses were also involved in a third of the cases.
日本一家综合医院的350名新精神科患者中，共有164名（47%）被转介至精神科会诊。在47%的病例中，报告存在躯体和精神疾病并发的情况。在被转介的患者中，神经症（38%）是最常见的精神疾病，其次是其他非器质性精神病（9%）、精神分裂症性精神病（8%）、酒精性精神病（8%）、短暂性器质性精神障碍（7%）、情感性精神病（6%）及其他。包括自杀未遂病例（12%）在内的精神科急诊病例比例较高（23%），这表明精神科医生在综合医院急诊服务的精神科紧急危机干预中发挥着重要作用。在自杀未遂病例中，抑郁症最为突出，但三分之一的病例也涉及精神分裂症性精神病。
