Medical consultations for the patients with severe mental illness: An evaluation in psychiatry inpatient service

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Yılmaz Karaman İ. G., Ağrıdağ E., Demircan F.

29th European Congress of Psychiatry, Florence, Italy, 1 - 30 April 2021, vol.64, pp.652

  • Publication Type: Conference Paper / Summary Text
  • Volume: 64
  • Doi Number: 10.1192/j.eurpsy.2021.1731
  • City: Florence
  • Country: Italy
  • Page Numbers: pp.652
  • Eskisehir Osmangazi University Affiliated: Yes


Introduction: Patients with severe mental illness die 10-20 younger

from general population. In addition to suicide, preventable physical

diseases cause most deaths. The mental illness itself and stigma

keep the patients from adequate treatment for physical ilnesses.

Objectives: We aimed to investigate medical consultations for

inpatients with severe mental illnes.

Methods: We retrospectively evaluated medical records of patients

diagnosed by schizophrenia, schizoaffective disorders, bipolar disorder,

and depression between 1st Februrary 2018 and 30th January

2020. We excluded routine consultations before electroconvulsive

treatment. Local ethichs committee approved the study.

Results: Among total 475 consultations, %41.3 (n=196) was for

male, and %58.7 (n=279) was for female patients. Mean age and

standart deviation were 48.9  13.9 for male, and 50.1  13.7 for

female (p>0.05). Comparing sexes oin terms of primer psychiatric

diagnoses, the higher proportion was psychotic disorders for male,

and for female it was mood disorders (p<0.05). The most consulted

departments with percentage and number were: internal medicine

%44.0 (n=209), neurology and neurosurgery %15.2 (n=72), physical

medicine and rehabilitation %8.2 (n=39), dermatology %7.8

(n=37), cardiology %6.7 (n=32). We compared the proportions of

consulted department between male and female. Male patients were

consulted to dermatology more than female, and female patient

were consulted to gynecology or urology more than male (p<0.05).

Conclusions: Awareness about physical diseases in paients with

severe mental illness between healthcare workers, carries the potential

to increase the patients’ quality of life and lifespan. For future

interventions the focus should involve healthcare worker in internal

medicine and neurology, as well as in psychiatry.