PATTERN OF PSYCHIATRIC REFERRAL FROM EMERGENCY DEPARTMENT OF A TERTIARY LEVEL HOSPITAL IN NEPAL
INTRODUCTION: Emergency department serves as one of the gateway through which patients with psychiatric disorders come for treatment. The referral to the psychiatry department enables a psychiatrist to provide services to these patients in need. So, the study of this pathway of care becomes important.
MATERIAL AND METHODS: A total of 100 consecutive patients referred from emergency to the department of psychiatry were enrolled in this study. Their socio-demographic variables, reason and purpose for referral was assessed. The psychiatric diagnosis was made according to the International Classification of Diseases -10 (ICD-10) system.
RESULTS: The psychiatric referral rate from the emergency was found to be 8.46%. Out of one hundred patients more referred patients were female (64%), from rural background (90%). Family members were the source of referral for emergency visit in most of the patients (74%). Dissociative disorder was the most common diagnosis (26%) followed by acute & transient psychotic disorders at 12%.
CONCLUSIONS: Fewer patients are referred to psychiatry department even in a tertiary level hospital of Nepal.
Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10
Page : 5-9
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