Consultation-Liaison Psychiatry (CLP): Examition of the Psychiatric Consultations for Inpatients and from the Emergency Medicine in a University Hospital

Abstract

Objective: Consultation liaison psychiatry (CLP) manages the psychiatric care of patients admitted to a general hospital for somatic reasons. Improvements in CLP ensure that the treatment process is effective. Methods and Methods: In two years, 1398 patients consulted from inpatient services were included in the psychiatry service. In the study, descriptive statistical analysis showed the number of patients in inpatient services, the reasons for consulting the psychiatry clinic of these patients, the results of psychiatrist evaluations, and the quantitative and qualitative characteristics of interdepartmental psychiatric consultations. Results: According to the number of inpatients, it was determined that psychiatry consultation requests were more frequent in intensive care units (5.60%), internal services (3.36%), and surgical services (1.23%). The most common consultation result was delirium (21.1%). As a result of the consultation evaluation, the diagnoses were determined as delirium, depression, and anxiety disorder, respectively; It was found that all three diagnoses were made in patients in the internal medicine service. Conclusion: A lower rate of mental illness was detected in the general hospital sample compared to epidemiology studies. This situation is experienced in the process of recognizing and defining a psychiatric disorder; It may be due to features such as the primary treatment department of the patient, the nature of the patient's primary disease, and the presentation of the mental disorder. With the study, awareness of CLP was raised, and descriptive features were emphasized.