Shakti Kumar Gupta|Shakti Kumar Gupta|Pooja Chaudhary|Adhil KK|Sai Sreeja Vullanki|Gaurav Kachhawaha
Profiles of the Patients and Their Referral Patterns Visiting the Psychiatry Clinic of a General Hospital Setting Located in a Mental Health Resource Deficient Region of India: A Retrospective Observational Study
All India Institute of Medical Sciences Bhopal|All India Institute of Medical Sciences Bhopal|All India Institute of Medical Sciences Bhopal|All India Institute of Medical Sciences Bhopal|All India Institute of Medical Sciences Bhopal|All India Institute of Medical Sciences Bhopal
abstract objectives treatment mental health problems determined cultural health infrastructure illnessrelated factors literature sparse india particularly mental health resourcesdeficient regions country central india therefore current study aimed assessing profile patients visiting psychiatry outpatient facility opf tertiarycare general hospital setting ghs referral patterns determinants materials methods retrospective chart review newly registered individuals october 2019 march 2020 psychiatry opf ghs central india used study data sociodemographic profiles illness characteristics referral patterns extracted per standard guidelines statistical analysis descriptive statistics used represent sociodemographic illness past treatmentrelated characteristics participants chisquared test used compare referral characteristics two groups selfreferred patients vs referred others dependent variable regard characteristics patients independent variables results total 418 individuals registered clinic individuals suffered neurotic stressrelated somatoform group disorders n 231 395 halves selfreferred referred internal medicine allied departments male least graduate degree 2 df1 425 679 p lt 005 suffering organic mental psychotic recurrent affectivedisorders positive family history 2 df1 491 2176 p lt 005 lt0001 along first treatment attempt previous treatment traditional healers absence cooccurring medical illness associated selfreferral vs referred others 2 df1 464 176 p lt 005 lt0001 conclusions ghs characteristic referral pattern referral patterns patients various psychiatric problems determined sociodemographic illness cultural characteristics particularly poor mental health literacy among patientscaregivers stigma related mental disorders unavailability mental health services act major determinants sensitizing patientscaregivers healthcare professionals concerning could facilitate early engagement psychiatric treatment future research needs explore phenomenon greater detail maybe qualitative methods