PATTERN OF PSYCHIATRIC REFERRAL FROM EMERGENCY DEPARTMENT OF A TERTIARY LEVEL HOSPITAL IN NEPAL

  • Sanjeev Ranjan Department of Psychiatry, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa
  • Reet Poudel Department of Psychiatry, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa
  • Pradeep Pandey Department of Psychiatry, Alka Hospital, Kathmandu
Keywords: Emergency Department, Psychiatric referral

Abstract

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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Author Biographies

Sanjeev Ranjan, Department of Psychiatry, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa
Associate Professor
Reet Poudel, Department of Psychiatry, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa
Postgraduate Resident
Pradeep Pandey, Department of Psychiatry, Alka Hospital, Kathmandu
Consultant Psychiatrist
Published
2016-01-11
How to Cite
Ranjan, S., Poudel, R., & Pandey, P. (2016). PATTERN OF PSYCHIATRIC REFERRAL FROM EMERGENCY DEPARTMENT OF A TERTIARY LEVEL HOSPITAL IN NEPAL. Journal of Universal College of Medical Sciences, 3(2), 5-9. https://doi.org/10.3126/jucms.v3i2.14283
Section
Original Articles