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Providing a psychiatric service to liver transplant patients

The first 2 years of the Scottish Liver Transplant Unit

Morningside Terrace, Royal Edinburgh Hospital, Edinburgh EH10 5HF

Fiona H. Lang

MRC Health Services Research Fellow, Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital

George Masterton, Consultant Psychiatrist

Royal Infirmary, Edinburgh

^* Correspondence

The Scottish Liver Transplantation Unit (SLTU)opened in the Edinburgh Royal Infirmary in November 1992. We describe the liaison psychiatric input during its first 23 months. Sixty-five patients were seen from 69 referrals and their case notes were studied retrospectively to obtain information on patient demographics and details of each psychiatric involvement. A high level of psychiatric morbidity was found and psychiatric opinion contributed to the transplant assessment procedure. Our results indicate the need for good liaison psychiatric input with subsequent resource implications.