فراواني ميزان ارجاع و تشخيص هاي روانپزشكي در بيمارستان امام خميني در سال هاي 1386 و 1387

Frequency of Referral Rate and Psychiatric Diagnoses in Sari Imam Khomeini Hospital during 2008 and 2009

Background and purpose: The purpose of this study was to determine the frequency of psychiatric diagnoses assigned by different consultation providers and to assess the demographic characteristics of patients in a general hospital. Materials and methods: Six hundred patients, who received psychiatric consultation, were studied. In total 40992 patients were admitted for a period of two years from March 2008 to March 2009. In this study, psychiatric consultations were assessed by demographic characteristics of patients, different departments where consultations were requested and diagnoses made by chief psychiatric resident of the hospital supervised by psychiatric specialist fellowship. Emergency consultations were performed by an assistant psychiatric from Zare university hospital. Results: Of those 40992 admitted patients, 600 (295 men and 305 women) patients received psychiatric consultation. The frequency of referral rate and psychiatric consultation was 0.9%. The highest referral rate was related to the department of internal medicine (2.4%) and the lowest was from department of Gynecology and Urology (0.1%). Psychological assessment was the most common reason (55.7 percent) for psychiatric consultation. The most prevalent psychiatric diagnoses were Dlyryum frequency (16%) and major depressive disorder (15%), respectively. Conclusion: Considering the relatively high rate of psychiatric consultation in this hospital, it seems that more training programs is required for personnel and specialists to increase general awareness about psychiatric diseases and mental disorders.