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. 2024 Nov 14:11:23743735241299912.
doi: 10.1177/23743735241299912. eCollection 2024.

Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients

Sean T Campbell  1 , Joost T P Kortlever  2   3 , Amanda M Franciscus  4 , Divy Ravindranath  4 , David Ring  2 , Julius A Bishop  1 ; Science of Variation Group
Affiliations

Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients

Sean T Campbell et al. J Patient Exp. .

Abstract

In an online, survey-based experiment, musculoskeletal surgeon members of the science of variation group (n = 243) and a group of consult-liaison psychiatrists (n = 18) read 5 hypothetical scenarios of patients recovering from musculoskeletal trauma, each containing 5 randomized patient variables, and indicated their recommendation for psychiatry consultation or not. Factors associated with recommendation for psychiatry consultation included younger age, history of a psychiatric disorder, and pre-injury use of antipsychotic medications, and scenarios involving psychosis, suicidality, hallucinations in the setting of substance withdrawal, and questionable capacity for informed consent, but not with sadness alone. Musculoskeletal surgeons can collaborate with psychiatrists to develop comprehensive care for inpatients with musculoskeletal trauma starting with relatively pressing mental health needs and perhaps expanding into treatment of sadness or worry that can manifest as greater symptom intensity and a delayed recovery trajectory.

Keywords: mental health; musculoskeletal trauma; psychiatry; psychosocial level of evidence I; therapeutic.

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Conflict of interest statement

The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: All authors certify that they have no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

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