Psychopathology of the General Population Referred by Primary Care Physicians for Urgent Assessment in Psychiatric Hospitals

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 11 4 2016 12 31 Psychopathology of the General Population Referred by Primary Care Physicians for Urgent Assessment in Psychiatric Hospitals 201 205 EN Judith McLenan Urgent Referrals Team, Royal Cornhill Hospital, Cornhill Road, Aberdeen, AB25 2ZH United Kingdom. Carlo Lazzari General Adult Psychiatry, North Essex Partnership University NHS Foundation Trust, The King’s Wood Centre, Colchester, United Kingdom. Gail McMillan Urgent Referrals Team, Royal Cornhill Hospital, Cornhill Road, Aberdeen, AB25 2ZH United Kingdom. Robert Mackie Urgent Referrals Team, Royal Cornhill Hospital, Cornhill Road, Aberdeen, AB25 2ZH United Kingdom. 2016 12 03 2016 12 03 Objective: The aim of this study was to evaluate the type, severity and progression of psychiatric pathologies in a sample of 372 outpatients (age range 18–65 years) referred by their primary general practitioners (GPs) to an Urgent Referral Team (URT) based in a psychiatric hospital in Aberdeen, Scotland. This team offers immediate appointments (1- to 7-day delays) for rapid assessments and early interventions to the outpatients referred by their primary family doctors. Method: One-sample t-test and z statistic were used for data analysis. From the total population, a convenience sample of 40 people was selected and assessed to evaluate whether follow-up appointments after the first visit could reduce the severity of suicidal ideation, depression and anxiety in the outpatients seen by the URT. A two-sample t-test and a Wilcoxon signed-rank test were used to assess the variations in the scores during the follow-up visits. Results: We found a statistically significant prevalence of depressive disorders, comorbid with anxiety at first presentation in people who were females, white, never married, living with a partner, not studying and not in paid employment. The common presentation of borderline personality disorder and dysthymia in this population underscores its vulnerability to major socioeconomic challenges. Conclusion: The data confirmed the impact that primary care cooperation with psychiatric hospitals can have on the psychiatric system, and as a reflection, on the population’s mental health and well-being. In fact, active cooperation and early diagnosis and intervention will help detect cases at risk in the general population and reduce admissions into hospitals. https://ijps.tums.ac.ir/index.php/ijps/article/view/886 https://ijps.tums.ac.ir/index.php/ijps/article/download/886/622