Abstract
A3 months' survey of psychiatric consultation work was made at 24 national hospitals from Oct. 1 till Dec. 31, 1972, by the same way as reported in the 1st report in 1970.
All of the new patients referred to psychiatrists from other somatological clinics of hospitals were registered and totalled.
Results obtained are as follows:
1) 13.8% of all the new out-patients of these hospitals were referred to the psychiatric practice.
2) More than a half of the referred cases were from the medical department, others were, in the order of the number of cases, from the departments of surgery, orthopedic surgery, obstetrico-gynecology and otorhynolaryngology.
3) Somatic diseases:
Most of the cases from the medical department were those of nervous, circulatory and digestive disorders; those from surgery were the cases of injury, nervous disorders and tumor; those from orthopedics, injury, nervous disorders and regressive degeneration and those from obstetrico-gynecology, pregnancy with epilepsy and tumor; while those from otorhynolaryngology were inflammatory cases such as otitis media and tumor.
4) Psychiatric diagnoses:
In the order of number of cases, neurosis, organic mental diseases, epilepsy, psychogenous reaction, schizophrenia and manic-depressive psychosis were most common.
5) The duration of mental diseases in the referred cases was mostly within one month, while a, greater number of cases of depressive illness were less than 3 months.
6) 7.1% of all the referred cases were so severely disordered, mentally and somatically that they had to be admitted immediately to the psychiatric ward for treatment by both psychiatrists and somatologists under good nursing care,
7) Psychiatric diagnoses and treatment of 33.5% of the referred cases were informed to the doctors of somatological departments; who referred the cases to psychiatrists; 56.4% of the referred cases were treated at the psychiatric out-patient clinic; 4.0% were admitted immediately to the psychiatric ward; 4.5% were sent to the other psychiatric hospitals.
