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KMID : 0367320050160010072
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Journal of the Korean Academy of Child and Adolescent Psychiatry
2005 Volume.16 No. 1 p.72 ~ p.78
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A CLINICAL STUDY OF CHILD AND ADOLESCENT PSYCHIATRIC CONSULTATION IN A GENERAL HOSPITAL
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Kim Yeoung-Rang
Hong Sung-Do
Lee Sang-Sin
Lim Seong-Hu
Park Jeoung-Hwan
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Abstract
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Objectives: This study is to investigate the clinical characteristics of psychiatric consultation for children and adolescents in a general hospital.
Methods: Hospital records of 302 children and adolescents who were referred for psychiatric consultation in a general hospital over 4 years were reviewed and analyzed.
Results: The mean referral rate for psychiatric consultation for school age children and adolescents was 2.15%. While more girls were referred in middle and high school age group, more boys were referred in pre-school age group. Fifty percent of the consultation was requested from department of internal medicine and pediatrics. Main reason for requesting psychiatric consultation was fur the assessment of the patients from psychiatric point of view (31.1%), followed by the management of depression (11.6%) and anxiety (11.3%). Most frequently rendered psychiatric services for the treatment was psychosocial education and supportive therapy (21.2%).
Conclusion: There are differences in clinical nature of psychiatric consultation and referral patterns between adult patients and child and adolescent patients. Future research is needed to strengthen the services for child and adolescent psychiatric consultation.
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KEYWORD
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Psychiatric consultation, Child and adolescent, General hospital
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