The practice of consultation-liaison psychiatry in Japan

Kurosawa, Hisashi; Iwasaki, Yasutaka; Watanabe, Nobuo; Nakamura, Kae; Kishi, Yasuhiro; Huse, Rimi

doi:10.1016/0163-8343(93)90119-9

Cited by 10 publications

(4 citation statements)

References 9 publications

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“…Approximately 2000 patients per year are admitted to CCMC, and about 100 of them are suicide attempters (excluding complete suicides) per year. Consultation-liaison psychiatrists have been assigned to provide psychiatric services to all suicide attempters admitted to CCMC [25]. Psychiatrists evaluate patients on admission and periodically during their CCMC stay to manage their psychiatric problems [26].…”

Section: Methodsmentioning

confidence: 99%

The characteristics of serious suicide attempters in Japanese adolescents- comparison study between adolescents and adults

et al. 2012

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BackgroundSuicide is the leading cause of death among Japanese adolescents, and they may commit suicide differently from adults. However, there are few studies in medical-based data concerning adolescent patients seriously attempting suicide. We aimed to explore the characteristics of serious suicide attempts in Japanese adolescents, comparing them with those in adults.MethodsWe investigated adolescents who seriously attempted suicide and were treated at the Critical Care Medical Center (CCMC) of Nippon Medical School Hospital between 2000 and 2010, and we compared them with adult suicide attempters treated during 2009. We retrospectively studied medical records and collected clinical data and socio-demographic factors, including age, sex, psychiatric symptoms or diagnosis, methods of suicide attempt, motives for suicide attempt, previous deliberate self-harm, previous psychiatric history, parent loss experience, and previous psychiatric history in the family.ResultsAdolescent attempters were 15 males and 44 females, 13 to 18 years old (mean 16.39). Adult attempters were 37 males and 65 females, 19 to 79 years old (mean 39.45). In comparison to adult attempters, adolescent attempters were more frequently diagnosed with Borderline Personality Disorder (BPD), had more school problems and parent loss experience, but they had less financial problems. Gender differences between adolescents and adults were examined, and male adolescent attempters were found to be more frequently diagnosed with schizophrenia and had less financial problems than their adult counterparts, while female adolescent attempters were more frequently diagnosed with BPD, had more school problems and parent loss, but they had less previous psychiatric history than their adult counterparts.ConclusionsOur findings indicated that adolescent attempters were more frequently diagnosed with BPD and had more school problems and parent loss experience but had less financial problems. Additionally, in male adolescent attempters, identifying patients with schizophrenia seemed important, as it was their most frequent psychiatric diagnosis. For female adolescents, adequately assessing family function and interpersonal conflicts seemed important, as they were more often diagnosed with BPD and had more school and family problems.

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Section: Methodsmentioning

confidence: 99%

The characteristics of serious suicide attempters in Japanese adolescents- comparison study between adolescents and adults

et al. 2012

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“…8 Liaison-psychiatry has been a core-training requirement of residency programmes in certain parts of the world. 8,10 Medical students who were exposed to CLP training had greater knowledge of and a positive attitude towards psychiatry, which might encourage recruitment to the profession. 8,10 Inpatient CLP professionals may play a major role in collaborating with the medical team to provide a strong focus on education and training of various medical/surgical teams.…”

Section: The Rationalementioning

confidence: 99%

“…8,10 Medical students who were exposed to CLP training had greater knowledge of and a positive attitude towards psychiatry, which might encourage recruitment to the profession. 8,10 Inpatient CLP professionals may play a major role in collaborating with the medical team to provide a strong focus on education and training of various medical/surgical teams. This training could include how to implement basic psychotherapeutic interventions that could facilitate patients' coping with the stress of medical illness.…”

Section: The Rationalementioning

confidence: 99%

“…[5][6][7] Establishing de novo CLP services has been studied in various parts of the world. 3,[8][9][10][11][12][13] For example, De Giorgio et al 's study provides evidence that supports establishing inpatient CLP services. 3 They found that implementing inpatient CLP in medical/surgical/ obstetrics-gynaecology wards with an emphasis on clinimetric approaches (i.e.…”

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confidence: 99%

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Challenges of Establishing a de novo Consultation-Liaison Psychiatry Service in a Tertiary Hospital: Practical considerations and challenges

Mahyijari

Inuwa

2020

Sultan Qaboos Univ Med J

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Consultation-liaison psychiatry (CLP), also known as psychosomatic medicine, is a subspecialty of psychiatry that focuses on the care of patients with mental health disorders and general medical/surgical conditions. Integrating CLP services facilitates diagnosis and management of patients with complex comorbidities. This article aimed to report the practical considerations and challenges associated with establishing a de novo CLP service in a tertiary hospital in the Gulf region. This includes discussing the rationale and clinical and educational benefits as well as the resources required for establishing a CLP service.Keywords: Psychiatry; Medical Education.

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