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No description available.

Mental disorders are common in athletes, but often go undiagnosed. Although mental health screenings are not routinely conducted in rugby, the Sport Concussion Assessment Tool – Fifth Edition (SCAT-5) is widely performed and measures affective, cognitive, sleep, and physical symptoms. This study investigated the psychometric properties of the SCAT-5 to explore its potential as a mental health screening tool. During preseason for the 2021 Western Province Super League A in South Africa, clinicians conducted mental health assessments of 71 adult male rugby union players. The SCAT-5 Symptom Evaluation, Baron Depression Screener for Athletes (BDSA), Athlete Psychological Strain Questionnaire (APSQ), Center for Epidemiologic Studies–Depression (CES-D), and Generalised Anxiety Disorder-7 (GAD-7) were compared to each other and to fully-structured diagnostic interviews by mental health professionals using the Mini International Neuropsychiatric Interview (MINI) 7.0.2. Lifetime MINI-defined mental disorders were common, being identified in 33.8% (95%CI 22.79 to 46.17%). Only 4.29% of these had a previous diagnosis. Exploratory Factor Analysis indicated a mental health construct of depression/anxiety being measured by the SCAT-5. The SCAT-5 had strong internal consistency ( = 0.94) and showed moderate convergent validity with the CES-D (r = 0.34; p = 0.008) and GAD-7 (r = 0.49; p < 0.0001). The area under the curve for identifying current disorders was 0.87 (p = 0.003). Since the SCAT-5 has the potential to identify depression and anxiety, it may allow mental health screening without the need for additional measures. Follow-up studies should further explore its discriminative ability in larger samples.

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No description available.

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No description available.

Objective: The aim of this study was to review referrals to the consultation-liaison psychiatric service at Groote Schuur Hospital including the number of referrals, demographic details of referred patients, medical and psychiatric diagnoses, management and outcome over a five-year-period. It was anticipated that referrals had increased on an annual basis. Method: The study was observational and was conducted at Groote Schuur Hospital in Cape Town, South Africa. All inpatients referred to consultation-liaison psychiatry (CLP) during the study period were included. The study information was gathered via data capture sheets that are completed for patients referred to the division. Results: A total of 1978 patients were referred to CLP and analysed in the study. Most referrals occurred in 2018 (n=499; 25.2%). The majority of referrals came from the division of internal medicine (n=607; 30.7%), and the main reasons for referral were unspecified (n=402; 20.3%), suicide/risk assessment (n=333; 16.8%), and other symptoms of mental illness (n=264; 13.3%). The most frequent immediate management included medication initiation or adjustment (n=793; 40.1%), and supportive counselling/psychoeducation (n=511; 25.8%). Conclusion: Referral numbers to the division have increased during the study period as hypothesized. As expected, most referrals came from the internal medicine division. The results from this study highlight the importance of the consultation-liaison service at Groote Schuur Hospital.

No description available.

No description available.