Neehall J, Beharry N
Department of Psychiatry, U.W.I., Trinidad.
West Indian Med J. 1993 Dec;42(4):155-7.
All patients referred for a psychiatric consultation from the adult wards of a General Hospital over a 10-month period were examined. The referral rate was 1.4%. Twice as many female patients were referred as male patients. Parasuicide accounted for 68% of referrals. The most common psychiatric diagnoses were adjustment reaction (41%), depression (23%), alcohol dependence (5%) and schizophrenia (5%). In 30% of referrals, no psychiatric treatment was necessary; 26% were transferred to the psychiatric unit and 17% were discharged to the out-patients' psychiatric clinic. Explanations are offered for the "hidden" psychiatric morbidity in General Hospitals and the high percentage of referrals who did not need psychiatric follow-up. Suggestions are made for a better liaison between physicians and psychiatrists.
对一家综合医院成人病房在10个月期间转介进行精神科会诊的所有患者进行了检查。转介率为1.4%。转介的女性患者数量是男性患者的两倍。准自杀占转介病例的68%。最常见的精神科诊断是适应反应（41%）、抑郁症（23%）、酒精依赖（5%）和精神分裂症（5%）。在30%的转介病例中，无需进行精神科治疗；26%的患者被转至精神科病房，17%的患者被转至门诊精神科诊所。文中对综合医院中“隐匿”的精神疾病发病率以及无需精神科后续治疗的高转介比例给出了解释。同时也对改善内科医生和精神科医生之间的联络提出了建议。
