Twenty seven per cent of medical emergency admissions were found to have diagnosable psychiatric disorders, mostly mild. Although ward staff assessed 31.1% of admissions as having emotional or psychological problems, only a minority had diagnosable psychiatric disorders. Few patients were referred for specialist psychiatric help. This partly reflected the milder nature of problems identified by ward staff, and partly indifference to psychiatry.
MaguireG.P.. Psychiatric morbidity and referral on two general medical wards.Br Med J1974; 1: 268–70
2.
MofficH.S., PaykelE.S.Depression in medical in-patients.Br J Psychiatry1975; 126: 346–53
3.
DerogatisL.R.. Prevalence of psychiatric disorders among cancer patients.JAMA1983; 249: 752–7
4.
HughesJ.E.. Psychiatric symptoms in dermatology patients.Br J Psychiatry1983; 143: 51–4
5.
LloydG.G., CawleyR.H.Distress or illness? A study of psychological symptoms after myocardial infarction.Br J Psychiatry1983; 142: 120–5
6.
BridgesK.W., GoldbergD.P.Psychiatric illness in in-patients with neurological disorders; patients’ views on discussion of emotional problems with neurologists.Br Med J1984; 289: 656–8
7.
BukbergJ.. Depression in hospitalised cancer patients.Psychosom Med1984; 46: 199–212
8.
QueridoA.An investigation into the clinical, social and medical factors determining the results of hospital treatment.Br J Prevent Social Med1959; 13: 33–49
9.
HawtonK.The long term outcome of psychiatric morbidity detected in general medical patients.J Psychosom Res1981; 25: 237–43
10.
BrodyD.S.Physician recognition of behavioural psychological and social aspects of medical cases.Arch Intern Med1977; 140: 1286–9
11.
KnightsE.B., FolsteinM.F.Unsuspected emotional and cognitive disturbances in medical patients.Ann Intern Med1977; 87: 723–24
12.
de PauloR.J., FolsteinM.F.Psychiatric disturbances in neurology patients: detection, recognition and hospital course.Ann Neurology1978; 4: 225–8
13.
LipowskiZ.J.Review of consultation psychiatry and psychosomatic medicine; II clinical aspects.Psychosom Med1967; 29: 201–24
14.
SenskyT.. Referrals to psychiatrists in a general hospital-comparison of two methods of liaison psychiatry: preliminary communication.JR Soc Med1985; 78: 463–8
15.
BrownA., CooperA.F.The impact of a liaison psychiatric service on patterns of referral in a general hospital.Br J Psychiatry1987; 150: 83–7
16.
GoldbergD.P., HillierV.F.A scaled version of the General Health Questionnaire.Psychol Med1979; 9: 139–45
17.
GoldbergD.P.. A standardised psychiatric interview for use in community surveys.Br J Prevent Social Med1970; 24: 18–23
18.
GoldbergD.P.Identifying psychiatric illness among general medical patients.Br Med J1985; 291: 161–2
19.
de PauloR.J., FolsteinM.F., GordonB.Psychiatric screening on a neurological ward.Psychol Med1980; 10: 125–32
20.
LloydG.G.Whence and whither ‘liaison’ psychiatry?Psychol Med1980; 10: 11–14
21.
SkuseD., WilliamsP.Screening for psychiatric disorder in general practice.Psychol Med1984; 14: 365–77
22.
WilliamsP., TarnopolskyA., HandD.Case definition and case identification in psychiatric epidemiology: review and assessment.Psychol Med1980; 10: 101–14
23.
MayouR., HawtonK.Psychiatric disorders in the general hospital.Br J Psychiatry1986; 149: 172–90