Psiquiatría de enlace en servicios médico-quirúrgicos de dos hospitales de Santiago

Abstract

Background: Medical and surgical teams consult psychiatrists when abnormal behavior or psychopathological traits are observed in their patients. Aim: To describe the experience of liaison psychiatry teams in public hospitals. Material and methods: Analysis of 128 consultations, involving 110 patients. Eighty eight patients were subjected to the structured Clinical Interview for DSM-IV-TR Axis I Disorders - Patient Edition, the Mini Mental State score and to a search for personality disorders. Results: The most commonly consulted problems were depression in 44 patients, substance abuse in 29 and suicidal behavior in 21. The psychiatric study detected that 8% of patients were asymptomatic, 8% had stress reactions, 16.5% had substance abuse, 14.6% had alcohol abuse, 11% had a major depression, 10% had delirium or dementia, 9% had anxiety disorders, 4% schizophrenia, 18% personality disorders and 19% had suicidal behaviors. Conclusions. Psychiatric consultations in medical and surgical services are common and have a wide variety of severity.