Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-27T12:39:52.007Z Has data issue: false hasContentIssue false
  • English
  • Français

The Impact of a Liaison Psychiatry Service on Patterns of Referral in a General Hospital

Published online by Cambridge University Press:  02 January 2018

A. Brown  and
A. F. Cooper
A. Brown*
Affiliation:
Royal Hospital for Sick Children, Glasgow
A. F. Cooper
Affiliation:
Leverndale Hospital, Glasgow
*
∗Department of Child Psychiatry, Royal Free Hospital, London NW3
Get access Rights & Permissions [Opens in a new window]

Abstract

A retrospective study of psychiatric referrals from a general hospital inpatient population was carried out for three separate years, 1973, 1976 and 1979. Reorganisation of the liaison service to the responsibility of one consultant team was associated with changes in referral rate and disposal. In particular, there was a significant increase in the referral rate of patients from medical and surgical wards who were not involved in acts of deliberate self-harm.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 150 , Issue 1 , January 1987 , pp. 83 - 87
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Present address: Senior Registrar and Lecturer in Child and Adolescent Psychiatry, The Tavistock Clinic and Royal Free Hospital School of Medicine, Rowland Hill Street, London NW3

References

Alexander, F. (1952) Psychosomatic Medicine; Its Principles and Applications. London: Allen and Unwin.Google Scholar
Altman, D. G., Gore, S. M., Gardner, M. J. & Pocock, S. J. (1983) Statistical guidelines for contributors to medical journal. British Medicai Journal, 286, 1489–1492.CrossRefGoogle Scholar
Anstee, B. H. (1972) The pattern of psychiatric referrals in a general hospital. British Journal of Psychiatry, 120, 631–634.Google Scholar
Blake, D. R. & Mitchell, J. R. A. (1978) Self-poisoning: management of patients in Nottingham, 1976. British Medical Journal, 1, 1032–1035.CrossRefGoogle ScholarPubMed
Brooks, P. & Walton, H. J. (1981) Liaison psychiatry in Scotland. Health Bulletin, 39, 218–227.Google Scholar
Chowdhury, N., Hicks, R. & Kreitman, N. (1973) Evaluation of an aftercare service for parasiticide (attempted suicide) patients. Social Psychiatry, 8, 67–81.Google Scholar
Crisp, A. H. (1968) The role of the psychiatrist in the general hospital. Postgraduate Medical Journal, 44, 267–276.Google Scholar
Davies, D. S. & Nelson, J. K. N. (1980) Referrals to psychiatric liaison nurses: changes in characteristics over a limited time period. General Hospital Psychiatry, 2, 41–45.Google Scholar
Fava, G. A. & Pavan, L. (1980) Consultation psychiatry in an Italian general hospital. General Hospital Psychiatry, 2,35–40.Google Scholar
Fleminoer, J. J. & Mallett, B. L. (1962) Psychiatric referrals from medical and surgical wards. Journal of Mental Science, 108, 183–190.Google Scholar
Gath, D. & Mayou, R. (1983) Consultation-liaison psychiatry in the United Kingdom. Advances in Psychosomatic Medicine, 11, 109–126.Google Scholar
Gibbons, J. S., Butler, J., Urwin, P. & Gibbons, J. L. (1978) Evaluation of a social work service for self-poisoning patients. British Journal of Psychiatry, 133, 111–118.CrossRefGoogle ScholarPubMed
Gomez, J. (1981) Liaison psychiatry. British Journal of Hospital Medicine, 26, 242–246.Google Scholar
Greer, S. & Bagley, C. (1971) Effect of psychiatric intervention in attempted suicide: a controlled study. British Medicai Journal, 1, 310–312.Google Scholar
Hawton, K. E., Bancroft, J., Catalan, J., Kingston, B., Stedeford, A. & Welch, N. (1981) Domiciliary and out-patient treatment of self-poisoning patients by medical and non-medical staff. Psychological Medicine, 11, 169–177.Google Scholar
Kennedy, P. (1972) Efficacy of a regional poisoning treatment centre in preventing further suicidal behaviour. British Medical Journal, 4, 255–257.Google Scholar
Lipowski, Z. J. (1977) Psychosomatic medicine in the seventies: an overview. American Journal of Psychiatry, 134, 233–244.Google Scholar
Lipowski, Z. J. & Wolston, E. J. (1981) Liaison psychiatry: Referral patterns and their stability over time. American Journal of Psychiatry, 138, 1608–1611.Google Scholar
Lloyd, G. G. (1977) Psychological reactions to physical illness. British Journal of Hospital Medicine, 18, 352–358.Google Scholar
Lloyd, G. G. (1980) Liaison psychiatry from a British perspective. General Hospital Psychiatry, 2, 46–51.Google Scholar
McLeod, J. G. & Walton, H. J. (1969) Liaison between physicians and psychiatrists in a teaching hospital. Lancet, 11, 789–792.CrossRefGoogle Scholar
Maguire, G. P., Julier, D. L., Hawton, K. E. & Bancroft, J. H. J. (1974) Psychiatric morbidity and referral on two general medical wards. British Medical Journal, 1, 268–270.Google Scholar
Mezey, A. G. & Kellet, J. M. (1971) Reasons against referral to the psychiatrist. Postgraduate Medical Journal, 47, 315–319.Google Scholar
Ministry of Health (1961) Circular HM (61) 94. London: HMSO.Google Scholar
Morgan, H. G., Barton, J., Pottle, S., Pocock, H. & Burns Cox, C. J. (1976) Deliberate self-harm: a follow-up study of 279 patients. British Journal of Psychiatry, 128, 361–368.Google Scholar
Steinberg, H., Torem, M. & Saravay, S. M. (1980) An analysis of physician resistance to psychiatric consultations. Archives of General Psychiatry, 37, 1007–1012.CrossRefGoogle ScholarPubMed
Torem, M., Saravay, S. M. & Steinberg, H. (1979) Psychiatric liaison: benefits of an “active” approach. Psychosomatics, 20, 604–611.Google Scholar
World Health Organisation (1978) Mental disorders: Glossary and guide to their classification in accordance with the Ninth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.