Hostname: page-component-848d4c4894-jbqgn Total loading time: 0 Render date: 2024-06-23T17:00:11.450Z Has data issue: false hasContentIssue false

Liaison psychiatry: Its impact in an intrahospital treatment for a psychotic patient

Published online by Cambridge University Press:  23 March 2020

D. Goujon*
Affiliation:
CASMP, Secteur 78G04, Conflans Sainte-Honorine, France
D.E. Chouillard
Affiliation:
Centre hospitalier intercommunal Poissy–Saint-Germain en Laye, Department of Psychiatry, Poissy, France
D.B. Abdullah
Affiliation:
Centre hospitalier intercommunal Poissy–Saint-Germain en Laye, Department of Psychiatry, Poissy, France
D.B. Dew
Affiliation:
Centre hospitalier intercommunal Poissy–Saint-Germain en Laye, Department of Psychiatry, Poissy, France
D.L. Beer
Affiliation:
Institut “Théophile-Roussel”, Montesson, France
D.P. Grandin
Affiliation:
Centre hospitalier intercommunal Poissy–Saint-Germain en Laye, Department of Psychiatry, Poissy, France
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Different manners of non-suicidal self-injuries are common ways to deliberately hurt oneself in order to aliviate suffering. It can be seen in various psychiatric affections. The ingestion of bizarre objects in psychotic patients is part of aggressive behaviour as a reaction to massive anxiety. We hereby present the case of a schizophrenic patient who presented to the Emergency Department for a second episode of ingestion of numerous metallic objects (screws, coins, knives, spoon, handles, …). Physical examination showed no abdominal guarding. CT scan revealed the presence of multiple metallic objects, which seemed impossible to go through the pylorus. Surgical transgastric extraction was performed. Outcome was uneventful. Patient was discharged and followed-up in a private structure. Three months later, the patient was readmitted for the same reason. Flexible endoscopy allowed this time complete extraction of the ingested objects. He recovered rapidly and was allowed to discharge from the surgical ward. The psychiatrist took decision with family to transfer him into a psychiatric hospital for the first time. His treatment was: chlorpromazine, Proton pump inhibitor, pain killers. Patient was treated by means of medication, psychotherapy, daily activities and family, preparation him for a day hospital.

Conclusion

We discuss here the beneficial multifocal treatment of a 42-year-old man suffering from schizophrenia. The life threatening ingestion of sharp and other metallic objects three times in a year was treated surgically with success. The psychiatric affection including invalidating acoustic-verbal delusions and severe negative signs were treated in pcychiatric hospital. The definite results will be discussed.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW145
Copyright
Copyright © European Psychiatric Association 2016
Submit a response

Comments

No Comments have been published for this article.