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[Liaison psychiatry in two public hospitals of Santiago]
Guillermo Hernández1, Paola Gallardo-Zurita, Rafael Sepúlveda
1Departamento de Psiquiatría y Salud Mental Sur, Facultad de Medicina, Universidad de Chile, Santiago. ghernandez@machi.med.uchile.cl
Background:
Medical and surgical teams consult psychiatrists when abnormal behavior or psychopathological traits are observed in their patients.
Aim:
To describe the experience of liaison psychiatry teams in public hospitals.
Material And Methods:
Analysis of 128 consultations, involving 110 patients. Eighty eight patients were subjected to the structured Clinical Interview for DSM-IV-TR Axis I Disorders--Patient Edition, the Mini Mental State score and to a search for personality disorders.
Results:
The most commonly consulted problems were depression in 44 patients, substance abuse in 29 and suicidal behavior in 21. The psychiatric study detected that 8% of patients were asymptomatic, 8% had stress reactions, 16.5% had substance abuse, 14.6% had alcohol abuse, 11% had a major depression, 10% had delirium or dementia, 9% had anxiety disorders, 4% schizophrenia, 18% personality disorders and 19% had suicidal behaviors.
Conclusions:
Psychiatric consultations in medical and surgical services are common and have a wide variety of severity.
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