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    Neurology referrals to a liaison psychiatry service.

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    Authors
    Fitzgerald, P
    Herlihy, D
    Sweeney, B
    Cassidy, E M
    Affiliation
    Department of Psychiatry, Cork University Hospital, Wilton, Cork.
    Issue Date
    2012-02-03T15:13:38Z
    MeSH
    Databases as Topic
    Epilepsy/psychology
    Humans
    Mental Disorders/diagnosis/*psychology
    Mental Health Services/*utilization
    Multiple Sclerosis/psychology
    Nervous System Diseases/complications/*psychology
    Neurology/*statistics & numerical data
    Prospective Studies
    Psychological Tests
    Psychometrics
    Referral and Consultation/*statistics & numerical data
    Somatoform Disorders
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    Citation
    Ir Med J. 2008 Oct;101(9):271-3.
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/209152
    PubMed ID
    19051614
    Abstract
    The objective of the present study was to assess the activity of the Liaison Psychiatry service of Cork University Hospital in relation to all in-patient neurology referrals over a 12-month period. Of 1685 neurology admissions, 106 (6%) were referred to liaison psychiatry for assessment. 91 referrals (86%) met criteria for a psychiatric disorder according to DSM-IV, the commonest being major depression (24%) and somatoform disorder (23%). Patients with multiple sclerosis or epilepsy comprised nearly half of all referrals (48 cases; 45%). Approximately 20% of M.S. in-patients (21 cases) were referred for psychiatric assessment, with the corresponding figure in epilepsy being 25% (18 cases). Although only 106 (6%) neurology in-patients were referred to liaison psychiatry, psychiatric diagnoses were documented in 327 (20%) discharge forms, presumably reflecting previous diagnosis. The above findings indicate that psychiatric illness is common among neurology inpatients screened by liaison psychiatry yet referral rates are relatively low in terms of the overall number of neurology in-patients. Psychiatric disorders were diagnosed in 86% of referrals indicating high concordance between neurologists and liaison psychiatry regarding the presence of a psychiatric disorder.
    Language
    eng
    ISSN
    0332-3102 (Print)
    0332-3102 (Linking)
    Collections
    Cork University Hospital

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