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. 1974 Feb 16;1(5902):268–270. doi: 10.1136/bmj.1.5902.268

Psychiatric Morbidity and Referral on Two General Medical Wards

G P Maguire, D L Julier, K E Hawton, J H J Bancroft
PMCID: PMC1633152  PMID: 4818184

Abstract

Psychiatric morbidity among 230 medical inpatients was determined by a two-stage screening procedure, using the General Health Questionnaire and Standardized Psychiatric Interview. Of these patients, 23% were considered psychiatrically ill, affective disorders being the commonest illnesses encountered; and 27 (12%) were psychiatrically referred. While referral was related to severity of psychiatric illness and previous psychiatric illness, the degree to which the psychiatric illness obtruded or created problems in management appeared more crucial in determining referral. In half of those with psychiatric illness the problems did not appear to have been detected or dealt with. It is suggested that medical clerking should routinely include questions about mood and psychological responses to illness.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bridges P. K., Koller K. M., Wheeler T. K. Psychiatric referrals in a general hospital. Acta Psychiatr Scand. 1966;42(2):171–182. doi: 10.1111/j.1600-0447.1966.tb01923.x. [DOI] [PubMed] [Google Scholar]
  2. Bruhn J. G., Wolf S., Philips B. U. A psycho-social study of surviving male coronary patients and controls followed over nine years. J Psychosom Res. 1971 Sep;15(3):305–313. doi: 10.1016/0022-3999(71)90042-0. [DOI] [PubMed] [Google Scholar]
  3. Cay E. L., Vetter N., Philip A. E., Dugard P. Psychological status during recovery from an acute heart attack. J Psychosom Res. 1972 Oct;16(6):425–435. doi: 10.1016/0022-3999(72)90068-2. [DOI] [PubMed] [Google Scholar]
  4. Denney D., Quass R. M., Rich D. C., Thompson J. K. Psychiatric patients on medical wards. I. Prevalence of illness and recognition of disorders by staff personnel. Arch Gen Psychiatry. 1966 May;14(5):530–535. doi: 10.1001/archpsyc.1966.01730110082012. [DOI] [PubMed] [Google Scholar]
  5. FLEMINGER J. J., MALLETT B. L. Psychiatric referrals from medical and surgical wards. J Ment Sci. 1962 Mar;108:183–190. doi: 10.1192/bjp.108.453.183. [DOI] [PubMed] [Google Scholar]
  6. Goldberg D. P., Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. Br Med J. 1970 May 23;1(5707):439–443. doi: 10.1136/bmj.2.5707.439. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. HELSBORG H. C. Psychiatric investigations of patients in a medical department. Acta Psychiatr Neurol Scand. 1958;33(3):303–335. doi: 10.1111/j.1600-0447.1958.tb03522.x. [DOI] [PubMed] [Google Scholar]
  8. KENYON F. E., RUTTER M. L. The psychiatrist and the general hospital. Compr Psychiatry. 1963 Apr;4:80–89. doi: 10.1016/s0010-440x(63)80089-9. [DOI] [PubMed] [Google Scholar]
  9. Kimball C. P. Psychological responses to the experience of open heart surgery. I. Am J Psychiatry. 1969 Sep;126(3):348–359. doi: 10.1176/ajp.126.3.348. [DOI] [PubMed] [Google Scholar]
  10. Lipowski Z. J. Review of consultation psychiatry and psychosomatic medicine. II. Clinical aspects. Psychosom Med. 1967 May-Jun;29(3):201–224. doi: 10.1097/00006842-196705000-00001. [DOI] [PubMed] [Google Scholar]
  11. Macleod J. G., Walton H. J. Liaison between phsicians and psychiatrists in a teaching hospital. Lancet. 1969 Oct 11;2(7624):789–792. doi: 10.1016/s0140-6736(69)90495-4. [DOI] [PubMed] [Google Scholar]
  12. QUERIDO A. Forecast and follow-up an investigation into the clinical, social, and mental factors determining the results of hospital treatment. Br J Prev Soc Med. 1959 Jan;13(1):33–49. doi: 10.1136/jech.13.1.33. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. SCHWAB J. J., CLEMMONS R. S., FREEMON F. R., SCOTT M. L. DIFFERENTIAL CHARACTERISTICS OF MEDICAL IN-PATIENTS REFERRED FOR PSYCHIATRIC CONSULTATION: A CONTROLLED STUDY. Psychosom Med. 1965 Mar-Apr;27:112–118. doi: 10.1097/00006842-196503000-00003. [DOI] [PubMed] [Google Scholar]

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