Psychiatric consultation at Songklanagarind Hospital
การรับปรึกษาปัญหาทางจิตเวชศาสตร์ ในโรงพยาบาลสงขลานครินทร์

Jarurin Pitanupong, D. of Psychiatry, F. of Medicine, PSU.
Jaturaporn Sangkul, D. of Psychiatry, F. of Medicine, PSU.
Corresponding e-mail : pjarurin@medicine.psu.ac.th

Published : Songkla Med J 2000, 18(1) : 57-63
Key words : psychiatric consultation, diagnosis

Objective : To evaluate the prevalence, characteristics of patients, psychiatric diagnosis and reason for psychiatric consultation at Songklanagarind hospital.

Materials and methods : The records during the 2-year period 1996-1997 of 263 patients who consulted for psychiatric problems from other departments were reviewed. The demographic data, clinical diagnosis, psychiatric diagnosis, admission ward and reason from consultee were analyzed.

Results : The patients comprised, 138 males and 125 females. The majority age group was 20-39 years and most consulted from the departments of medicine and surgery. The most common reason from consultee was to evaluate or decide on proper management without diagnosis of specific psy-chiatric problems. One hundred and nineteen patients (45.2%) had comorbid organic and mental illness. Delirium, major depression and adjustment disorder were the most common psychiatric diag-noses.

Conclusion : Psychiatric problem, especialy delirium was common misdiagnosis and under-recognize, so the prevalence about psychiatric problem may be too less than reality.

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