Psychiatric referrals from an accident and emergency department in Singapore.

A, Ang; Ko, Soo Meng; Kua, Ee‐Heok

doi:10.1136/emj.12.2.119

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…Age distribution shows that the respondents of case grouped belonged to age groups 18-25 years. Age did not differ significantly which agreed with the same findings of others 4,15,16,17,18,19,20,21 . This could be due to the fact that people of this group are more productive and have more potentiality to seek care.…”

Section: Resultssupporting

confidence: 92%

Psychiatric patients at general hospital emergency departments

et al. 2020

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A cross-sectional descriptive type of study on 357 patients was carried out in the emergency departments of Dhaka Medical College Hospital (DMCH) and Shahid Sohrawardy Medical College (SSMCH), Dhaka in 2011 to find out the incidence and socio-demographic characteristics of psychiatric morbidities among the patients attended there. The patients were interviewed using GHQ-28 and SCID-I, All GHQ-28 screen positive and 25% of screen negative respondents (total 158) were assessed by SCID-I. Among them 42 (11.76% of all 357 cases) respondents were found with some form of psychiatric illness. Diagnosis of psychiatric illness was significantly higher in those scored 4 or more in GHQ-28. More psychiatric cases were found among 18-25 years age group (50%), male gender (54.76%), urban population (69.05%), Muslims (85.71%), being single (54.76%), patients with secondary level of education (45.24%), housewives (26.19%), members of nuclear families (78.57%), and members of lower-income group. Among these 42 psychiatric cases, 22 were assessed by a psychiatrist who was blind about GHQ-28 score and SCID-I diagnosis. Out of these psychiatrically ill 42 cases, Major Depressive Disorder was in 9 (2.52% of the total study population of 357), Conversion Disorder was in 8 (2.24%) and Anxiety Disorder was in 7 (1.96%) respondents. There were two cases of Bipolar I Disorder and a single case of extrapyramidal side effects (EPSEs) with schizophrenia. Psychiatric illnesses are important issues at the emergency departments which require special attention. Bang J Psychiatry June 2017; 31(1): 7-14

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Section: Resultssupporting

confidence: 92%

Psychiatric patients at general hospital emergency departments

et al. 2020

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“…We studied only patients admitted to an ED ward, whereas in other studies all patients presenting to an ED were screened from a psychiatric point of view 2,4 -6,9,14,17,22 -24 or a pre-selected population referred to a psychiatrist by EPs was examined. 3,8,10,25 Some studies carried out a retrospective evaluation of ED patients. 8,10 Moreover, diagnostic criteria were different, and in the majority of studies a standardized diagnostic interview was not administered.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric disorders in patients admitted to emergency department wards

et al. 2001

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Even though psychiatric problems are commonly observed in patients attending emergency departments (ED), to our knowledge, there are no studies about the prevalence of mental disorders in patients admitted to ED wards. In the present study we evaluated the psychiatric disorder morbidity in patients admitted to ED wards for physical problems. General Health Questionnaire‐30 (GHQ‐30) was submitted to 556 patients admitted to the ED ward. All GHQ‐30 positive (score > 4) and one third (randomly selected) of the GHQ‐30 negative (score < 5) patients underwent the Mini International Neuropsychiatric Interview (MINI‐IV), a structured interview to diagnose mental disorders according to DSM‐IV criteria. Patients with positive and negative scores to GHQ‐30 were 293 (52.7 per cent) and 263 (47.3 per cent) respectively. A total of 351 patients underwent the MINI‐IV. In the total sample the extrapolated prevalence was 44.4 per cent for all mental disorders, 21.7 per cent for Anxiety Disorders, 10.2 per cent for Depressive Disorders, 9.7 per cent for Adjustment Disorders and 3.2 per cent for Alcohol Dependence. In only 53 patients (9.8 per cent) the diagnoses at discharge was a mental disorder and in 32 patients (5.7 per cent) a psychiatric consultation was requested. In conclusion, a high rate of Anxiety and Depressive Disorders was found in patients admitted to the ED ward, but in most of these patients the mental disorders were not recognized by the emergency physicians. Copyright © 2001 John Wiley & Sons, Ltd.

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“…Although it is possible that there may be cultural factors inherent in these two groups that serve as protective factors, we cannot rule out the possibility that the underrepresentation may also be due to the Malay population in Singapore being less likely to seek help for psychiatric illnesses. (24,25) While there is no current literature regarding the mental health help-seeking behaviour of Singaporean Indians, there is evidence that Indian women living in the United Kingdom are less likely to seek help for mental illness as compared to Caucasian women residents, due to a lack of knowledge about the illness and the belief that treatment would be less beneficial. (26) The aforementioned reasons could be extrapolated to the Singaporean Indian population, and this cultural factor might be compounded by the poor eating disorder literacy in Singapore.…”

Section: Discussionmentioning

confidence: 99%

The clinical profile of patients with anorexia nervosa in Singapore: a follow‑up descriptive study

Kuek

Utpala

Lee

2015

smedj

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INTRODUCTIONThe prevalence rate of anorexia nervosa is lower in Asia than in the West, although studies have found that it is on the rise in Asia. This study aims to present the clinical profile of patients presenting with anorexia nervosa in Singapore. METHODSThe present study used archival data from the Eating Disorder Programme registry of the Department of Psychiatry, Singapore General Hospital, Singapore. Patient records from 2003 to 2010 were collected and analysed. Presenting characteristics of the patients were also compared with those of another local study conducted eight years earlier.RESULTS From 2003 to 2010, a total of 271 patients were diagnosed with anorexia nervosa by a psychiatrist in our hospital.Of these, 251 (92.6%) were female and 238 (87.8%) were Chinese. Our patients had a lower mean weight (36.83 kg, p < 0.001) and a lower mean body mass index (BMI) (14.43 kg/m 2 , p < 0.001) than patients from the previous local study. Almost half of all our patients (n = 135, 49.8%) were diagnosed with at least one psychiatric comorbidity and 50 (18.5%) had a history of self-harm. CONCLUSIONThe presenting characteristics of our study cohort were similar to those of the Western population.However, the lower presenting weight and BMI in our cohort indicates that cases seen today are more severe than those seen eight years ago. Therefore, it is important to put in place prevention programmes to help adolescents cultivate a healthy body image as well as early intervention programmes to improve detection rates and treatment outcomes.

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Psychiatric referrals from an accident and emergency department in Singapore.

Cited by 9 publications

References 7 publications

Psychiatric patients at general hospital emergency departments

Psychiatric patients at general hospital emergency departments

Psychiatric disorders in patients admitted to emergency department wards

The clinical profile of patients with anorexia nervosa in Singapore: a follow‑up descriptive study

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