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Reasons for referral and consultation liaison psychiatry diagnoses

Published online by Cambridge University Press:  13 June 2014

John Lyne ,
Brian O'Donoghue ,
Maurice Bonnar ,
Daniel Golden ,
Claire Mclnerney ,
Ian Callanan  and
Martina Ryan
John Lyne*
Affiliation:
DETECT Early Intervention in Psychosis Service, Dublin
Brian O'Donoghue
Affiliation:
DETECT Early Intervention in Psychosis Service, Dublin
Maurice Bonnar
Affiliation:
St. John of God Hospital, Dublin
Daniel Golden
Affiliation:
Drug Treatment Centre Board, Dublin
Claire Mclnerney
Affiliation:
Victorian Institute for Forensic Mental Health, Australia
Ian Callanan
Affiliation:
St Vincent's University Hospital, Dublin
Martina Ryan
Affiliation:
St Vincent's University Hospital, Dublin, Ireland
*
*Correspondence E-mail: [email protected]
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Abstract

Objectives:

Focused management strategies, including effective distribution of available resources is dependent on ongoing analysis of referral type in any liaison psychiatry consultation service. This survey sought to measure rate of diagnoses in an Irish liaison psychiatry consultation service, and compare the results with other similar services.

Method:

A survey of referral reasons and diagnoses was performed on all patients presenting to a Dublin based inpatient liaison psychiatry consultation service over two six month periods. The results were subsequently compared with other similar international studies.

Results:

Commonest referral reasons were for depressive disorders, while commonest diagnoses included alcohol related disorders, depressive disorders, and delirium, with notably higher rates of alcohol related disorders than in other similar international studies.

Conclusions:

This study provides valuable information for referral reasons and diagnoses present in an Irish liaison psychiatry consultation service. The differences noted between diagnoses in our study and other international studies, as well as some of the difficulties in establishing these diagnoses, are discussed.

Keywords

DiagnosisSurveyLiaison psychiatry consultation
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 27 , Issue 3 , September 2010 , pp. 123 - 129
Copyright
Copyright © Cambridge University Press 2010

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References

1.Huyse, FJ, Herzog, T, Lobo, Aet al.Consultation-Liaison psychiatric service delivery: results from a European study. Gen Hosp Psychiatry 2001; 23(3): 124–32.CrossRefGoogle ScholarPubMed
2.Rothenhäusler, HB, Ehrentraut, S, Kapfhammer, HP.Changes in patterns of psychiatric referral in a German general hospital: results of a comparison of two 1-year surveys 8 years apart. Gen Hosp Psychiatry 2001; 23(4): 205–14.CrossRefGoogle Scholar
3.Schofield, A, Doonan, H, Daly, RJ.Liaison psychiatry in an Irish hospital: a survey of a year's experience. Gen Hosp Psychiatry 1986; 8(2): 119–22.CrossRefGoogle Scholar
4.Fitzgerald, P, Herlihy, D, Sweeney, B, Cassidy, EM.Neurology referrals to a liaison psychiatry service. Ir Med J 2008; 101 (9): 271–3.Google ScholarPubMed
5.Wrigley, M, Loane, R.Consultation-liaison referrals to the north Dublin old age psychiatry service. Ir Med J 1991; 84(3): 89–91.Google Scholar
6.Lyne, J, Hill, M, Burke, P, Ryan, M.Audit of an inpatient liaison psychiatry consultation service. Int J Health Care Qual Assur 2009; 22(3): 278–88.CrossRefGoogle ScholarPubMed
7.Rothenhäusler, HB, Stepan, A, Kreiner, B, Baranyi, A, Kapfhammer, HP.Patterns of psychiatric consultation in an Austrian tertiary care center – results of a systematic analysis of 3, 370 referrals over 2 years. Psychiatr Danub 2008; 20(3): 301–9.Google Scholar
8.Gala, C, Rigatelli, M, De Bertolini, C, Rupolo, G, Gabrielli, F, Grassi, L.A multi-center investigation of consultation-liaison psychiatry in Italy. Italian C-L Group. Gen Hosp Psychiatry 1999; 21 (4): 310–7.CrossRefGoogle Scholar
9.Diefenbacher, A, Strain, JJ.Consultation-liaison psychiatry: stability and change over a 10-year-period. Gen Hosp Psychiatry 2002; 24(4): 249–56.CrossRefGoogle ScholarPubMed
10.Bourgeois, JA, Wegelin, JA, Servis, ME, Hales, RE.Psychiatric diagnoses of 901 inpatients seen by consultation-liaison psychiatrists at an academic medical center in a managed care environment. Psychosomatics 2005; 46(1): 47–57.CrossRefGoogle Scholar
11.Ramchandani, D, Lamdan, RM, O'Dowd, MAet al.What, why, and how of consultation-liaison psychiatry. An analysis of the consultation process in the 1990s at five urban teaching hospitals. Psychosomatics 1997; 38(4): 349–55.Google ScholarPubMed
12.Devasagayam, D, Clarke, D.Changes to inpatient consultation-liaison psychiatry service delivery over a 7-year period. Australas Psychiatry 2008; 16(6): 418–22.CrossRefGoogle Scholar
13.http://ec.europa.eu/public_opinion/archives/ebs/ebs_272b_en.pdfGoogle Scholar
14.Costello, DJ, Renganathan, R, O'Hare A, Murray B, Lynch, T.Audit of an inpatient neurology consultation service in a tertiary referral centre: Value of the consulting neurologist. Ir Med J 2005; 98(5): 134–137.Google Scholar
15.Snyder, S, Strain, JJ, Wolf, D.Differentiating major depression from adjustment disorder with depressed mood in the medical setting. Gen Hosp Psychiatry 1990; 12(3): 159–65.CrossRefGoogle ScholarPubMed
16.Hengeveld, MW, Rooymans, HG, Vecht-van den Bergh, R.Psychiatric consultations in a Dutch university hospital: a report on 1814 referrals, compared with a literature review. Gen Hosp Psychiatry 1984; 6(4): 271–9.CrossRefGoogle Scholar
17.Malt, UF, Huyse, FJ, Herzog, T, Lobo, A, Rijssenbeek, AJ.The ECLW Collaborative Study: III. Training and reliability of ICD-10 psychiatric diagnoses in the general hospital setting: an investigation of 220 consultants from 14 European countries. European Consultation Liaison Workgroup. J Psychosom Res 1996; 41(5): 451–63.CrossRefGoogle ScholarPubMed
18.Galeazzi, GM, Ferrari, S, Mackinnon, A, Rigatelli, M.Interrater reliability, prevalence, and relation to ICD-10 diagnoses of the Diagnostic Criteria for Psychosomatic Research in consultation-liaison psychiatry patients. Psychosomatics 2004; 45(5): 386–93.CrossRefGoogle ScholarPubMed