In an attem pt to evaluate the current trends of psychiatric consultation, authors investigated 142 cases of in patients who were referred for psychiatric consultation at Kangnam St. M ary’s Hospital from April 1, to November 30, 1983. The results were as follows: 1. The m ajority of consultations was requested from the department of internal medicine (67.61%). 2. The overall consultation rate was 1. 71% of total in-patients for the time period. The department of internal medicine ranked highest in the consultation rate (5.12%). 3. jjAtnong the immediate reasons for psychiatric consultation, request for diagnostic evaluation and treatment was 65.63% and request for control of specific symptoms or behavior was 34.37%. 4. Among the somatic symptoms present on consultation, gastrointestinal symptoms and head & CNS symptoms were the most frequent ones. 5. Affective disorders including depression(25.39%), and organic mental disorder (16.58%) were the most frequent diagnostic impressions given by consultant. 6. Regarding the concordance rate with the recommendations given by consultant, absolute concordance with laboratory tests (including psychological tests), drug treatment and psychotherapeutic approach was observed among 62.3996 of total consultees. However, non-concordance was observed among 11.9396. 7. For the discharge diagnosis, psychiatric diagnosis was given to 33.03% among all the consultees. 8. The inter-departmental transfer rate following psychiatric consultation was 21.20%.
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