Background: In medical care settings, mental health symptoms of depression and distress are associated with poor medical outcomes, yet they are often underrecognized.

Objective: Authors sought to examine the effect of having immediate mental-health screening in the cardiology clinic.

Method: The Patient Health Questionnaire and the Impact of Event Scale were used to screen for depression and distress in 316 patients at an urban cardiology clinic. Because of poor follow-up rates, a psychiatrist was placed on the premises of the cardiology clinic to facilitate referrals.

Results: Placing a psychiatrist within the cardiology clinic significantly improved the rate of successful referrals.

Conclusion: Because 45 patients (14%) endorsed suicidal thoughts, authors conclude that mental health screening programs should include an immediate evaluation by a clinician.

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http://dx.doi.org/10.1176/appi.psy.49.5.386DOI Listing

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