Characteristics of Patients Referred for Consultation-liaison Psychiatry in a Regional Referral Hospital in Malaysia

Luke Sy-Cherng Woon, Noor Izuana Redzuan


Objective: To determine consultation-liaison psychiatry (CLP) referral rate and patient characteristics in a regional referral hospital.

Methods: Retrospective review of CLP referral records at Hospital Raja Permaisuri Bainun, Ipoh over 12 weeks.

Results: The inpatient referral rate was 12.1 per 1,000 patients (Median age: 43 years, male: 58%). The emergency department referred most cases (51.1%), followed by the medical wards (29.6%). Top referral reasons were depression (22.8%), suicide assessment (15.9%), and substance-related problems (13.0%). Depressive disorders (20.6%), substance-related disorders (17.2%), and schizophrenia (14.3%) were the commonest diagnoses. Male, Malay, and orthopaedic patient were factors associated with substance-related referrals. Deliberate self-harm patients were younger, more likely to be female, Indian, and without a psychiatric disorder.

Conclusion: Substance-related disorders and DSH contributed much to CLP workload at the regional hospital studied.

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Deliberate self-harm; hospitals, general; psychiatry; referral and consultation; substance-related disorders

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