Kerala Journal of Psychiatry <p>Official&nbsp; Journal of the Branch of Indian Psychiatric Society (Kerala)</p> Branch of Indian Psychiatric Society (Kerala) en-US Kerala Journal of Psychiatry 0377-0699 The Rights of Persons with Disabilities Act 2016 and Psychiatric Care <p>NIL</p> Thomas John ##submission.copyrightStatement## 2020-02-13 2020-02-13 32 2 Consultation Liaison Psychiatry – Diagnostic concordance between referring physician and psychiatrist <p><strong>ABSTRACT</strong></p> <p><strong>Background</strong>: Consultation – liaison psychiatry (CLP) provides expert advice and act as a liaison. There is a high prevalence of psychiatric comorbidities among patients of other specialities, yet the referral rates are low, probably due to inadequate psychiatric awareness which can be assessed from the diagnostic concordance.</p> <p><strong>Objective: </strong>To assess diagnostic concordance between the psychiatrist and referring doctor.</p> <p><strong>Materials and</strong> <strong>Methods: </strong>This is a cross-sectional record-based study of all inpatients referred to CLP. Data was collected from CLP registry.</p> <p><strong>Results: </strong>Most of the referrals were from General Medicine. The most common reason for referral was alcohol use disorders and common diagnoses made by referring physicians were alcohol use disorders, delirium and mood disorders, similar to the psychiatrist’s diagnoses; however, deliberate self harm (DSH), a common diagnosis made by the referring doctor, constituted only 4.2% of psychiatrist’s diagnoses. There was complete diagnostic concordance for 40.9%; perfect agreement was found for DSH and alcohol use disorders, substantial agreement for delirium and moderate agreement for mood disorders. The agreement was low for DSH with comorbid depression, other substance use disorders and organic mental disorders.</p> <p><strong>Conclusion: </strong>The diagnostic concordance for common mental health problems is low, according to the present study. CLP needs to extend its educational function towards other specialities and it should be an active component of undergraduate psychiatric training.</p> <p><strong>Keywords</strong>: Consultation Liaison Psychiatry, Diagnostic concordance</p> <p>&nbsp;</p> Sivin P Sam Keerthy Reji Soumya Thomas Sheena Varughese Joice Geo Vijayalal Vijayan Roy Abraham Kallivayalil ##submission.copyrightStatement## 2020-02-21 2020-02-21 32 2 A case report of Lithium induced Dariers disease <p>Lithium has been used frequently in the management of Affective disorders since six decades and known to cause dermatological adverse events in the form of Acne, exacerbation of Psoriasis etc..Here we report another dermatological manifestation of Lithium therapy, induction of Dariers disease.</p> Dinesh Kumar MK Aswathi T V Shima K ##submission.copyrightStatement## 2020-02-21 2020-02-21 32 2 Kerala Psychiatry yesterday and today: recollections and reflections <p>During the 35th annual conference of Kerala State branch of Indian Psychiatric Society (SIPSCON 2019), conducted in Thrissur, a group activity was designed, titled ‘Voices from the floor: group activity on contemporary psychiatric issues in Kerala’. In this academic program, the participants were given the centre stage. It was designed as a group activity where all the delegates were divided into small groups to give their experiential account and reflection related to mental health care in Kerala. The topic of discussion and exploration in each group were chosen from either one of the broad perspectives of clinician, academician or mental health activist.</p> <p>&nbsp;This narrative is based on the introductory remarks made in the workshop, co-authored by all the authors and presented by the third author. From this activity, the outcome expected was to discover a treasure of information which could pave the way for further exploration and action plans. No consensus was aimed at. These could shape the future of Kerala mental health scenario.</p> Smitha Ramadas Girish Menon Praveenlal Kuttichira ##submission.copyrightStatement## 2020-03-19 2020-03-19 32 2 When breath becomes air <p>NIL</p> P M A Nishad Ravichandra Karkal Anil Kakunje Mohan Chandran VV ##submission.copyrightStatement## 2020-02-13 2020-02-13 32 2