Pediatric Psychiatric Emergencies at a Tertiary Care Center in India

Singh, Swarndeep; Kumar, Saurabh; Pattanayak, Raman Deep

doi:10.1007/s13312-020-2065-6

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…The low referral rate from the pediatrics ward[ 17 , 18 ] in our study might suggest the refusal on the part of parents/guardians of the child to seek psychiatric consultation to avoid the stigma related to mental illness.…”

Section: Discussionmentioning

confidence: 89%

Pattern of inpatient consultation-liaison psychiatry utility in a tertiary care hospital

Chaudhary

Kumar

Bhalla

et al. 2023

Int J App Basic Med Res

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Background: Consultation-liaison psychiatry (C-LP) is an interface between physical and psychological health where the psychiatrists become a part of the medical team for a holistic approach in the treatment of the patient. Aims: Our study aimed to see the pattern and utility of C-LP services among inpatient referrals to the department of psychiatry. Settings and Design: This observational descriptive study recorded inpatient referrals to the department of psychiatry of a tertiary care hospital for 2 months. Subjects and Methods: The Mini-International Neuropsychiatric Interview (M. I. N. I.) was administered for identifying the comorbid psychiatric diagnoses. Results: Most of the received inpatient referrals were for male patients (73.7%) in the age group of 30–60 years (58%). Overall, the referral rate was significantly higher from the emergency department and intensive care units (ICU) (50%), followed by specialty (medicine and surgery) wards (20%) and super specialty (cardiology, gastroenterology, and oncology) wards (16%). Altered sensorium and restlessness were the most common reasons for referral (42%), followed by alcohol/drug withdrawal (21.6%), somatic complaints (7.3%), sadness of mood, disturbed sleep, and deliberate self-harm (6% each). Substance use disorders, including alcohol and opioid (32%), delirium (25%), and depression (19%), were among the most common psychiatric diagnoses seen in the referred patients. Conclusions: The pattern observed indicates that most inpatient referrals for psychological evaluation are received for altered sensorium from emergency and ICU than wards. The utility of C-LP helps to understand the reciprocal interdependence between the medical illness and the psychiatric comorbidity.

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Section: Discussionmentioning

confidence: 89%

Pattern of inpatient consultation-liaison psychiatry utility in a tertiary care hospital

Chaudhary

Kumar

Bhalla

et al. 2023

Int J App Basic Med Res

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Profile of Patients Seen in Consultation-Liaison Psychiatry in India: A Systematic Review

Dua

Grover

2020

Indian Journal of Psychological Medicine

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Objectives: This review aimed to evaluate all the published studies from India conducted in the consultation-liaison (CL) psychiatry setting to identify the diagnostic patterns and referral rates in this setting. Understanding the same can help in organizing the services and knowing the training needs. Materials and Methods: A thorough literature search was done in August 2020 using different search engines (PubMed, Medknow, and Google Scholar). This was followed by an individual search of various Indian Psychiatry journals and a hand search of references in the available articles. Only those studies that described patients referred to psychiatry services from various specialties were included. Results: A total of 33 studies were selected for the review. More than half of them were published in the last 5 years. Studies have primarily reported psychiatric profile medically ill inpatients referred to CL psychiatry services, with the majority of the studies reporting the number of patients seen for the duration of at least 1 year. The referral rates for inpatients across different institutes have varied from 0.01% to 3.6%. The referral rates from emergency set-ups have varied from 1.42% to 5.4%, and in outpatients, from 0.06% to 7.17%. The most commonly diagnosed psychiatric disorders across different studies include depression; organic disorders, including delirium; substance use; intentional self-harm; and anxiety disorders. Conclusions: A limited number of studies have reported the profile of patients seen in CL psychiatry setups. Available data from these studies suggest that referral rates to psychiatry services from other specialists are dismal. There is an urgent need to change the focus of psychiatry training at both undergraduate and the postgraduate levels to enhance the psychiatric knowledge of physicians to improve psychiatry referrals.

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Profile of patients seen in the emergency setting: A retrospective study involving data of 5563 patients

Grover

Dua

Chakrabarti

2021

J Mental Health Hum Behav

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Pediatric Psychiatric Emergencies at a Tertiary Care Center in India

Cited by 3 publications

References 11 publications

Pattern of inpatient consultation-liaison psychiatry utility in a tertiary care hospital

Pattern of inpatient consultation-liaison psychiatry utility in a tertiary care hospital

Profile of Patients Seen in Consultation-Liaison Psychiatry in India: A Systematic Review

Profile of patients seen in the emergency setting: A retrospective study involving data of 5563 patients

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