Michalon M
Camp Hill Hospital, Halifax, Nouvelle-Ecosse.
Can J Psychiatry. 1993 Apr;38(3):168-74. doi: 10.1177/070674379303800303.
This study was conducted in Halifax, Nova Scotia, in a 740 bed university general hospital. For a period of two years, a prospective collection of data on 692 psychiatric consultations showed that 60% of all consultations came from internal medicine departments. Medical and psychiatric comorbidity was found in 50% of the patients; depression was diagnosed in 27.5% of the cases but schizophrenia in only 1.7%. Suicidal ideation was reported by 24% of the patients, 11.6% of them wishing to die imminently. More than 50% of suicidal patients were under 35 years of age; 42% of them were dependent on alcohol. Almost 30% of the patients seen in consultation admitted to being addicted to alcohol, 22% to benzodiazepines and 14% to illicit drugs. Among the ex-alcoholic patients, a significant dependence in benzodiazepine use was found. The patients with addictions to street drug had a greater suicide risk and were at the same time abusing alcohol. This paper will describe the overall functioning of a consultation-liaison psychiatric service and will analyze the impact of psycho-active substance abuse in a general hospital setting. The results will be compared with those in the literature.
本研究在新斯科舍省哈利法克斯市一家拥有740张床位的大学综合医院进行。在为期两年的时间里，对692例精神科会诊进行前瞻性数据收集，结果显示所有会诊中有60%来自内科。50%的患者存在医学和精神疾病共病情况；27.5%的病例被诊断为抑郁症，但只有1.7%为精神分裂症。24%的患者报告有自杀意念，其中11.6%希望立即死亡。超过50%的自杀患者年龄在35岁以下；其中42%依赖酒精。几乎30%接受会诊的患者承认有酒精成瘾，22%有苯二氮䓬类药物成瘾，14%有非法药物成瘾。在戒酒患者中，发现对苯二氮䓬类药物存在显著依赖。吸食街头毒品成瘾的患者自杀风险更高，同时还滥用酒精。本文将描述会诊 - 联络精神科服务的整体运作情况，并分析综合医院环境中精神活性物质滥用的影响。研究结果将与文献中的结果进行比较。
