LAUSR

care consultation in 9.7% of notifications. This raises the question of whether these patients would have been correctly treated otherwise, as patients who are referred for psychiatric consultation by the healthcare team are often not those who truly need psychiatric care, while those in need are not always referred. These results suggest that case discussion with a specialist can help identify which patients can be managed by the healthcare team and which actually need specialist care. Interestingly, the psychiatrist was able, through case discussions, to question the accuracy of previously established psychiatric diagnoses or suggest a second hypothesis that could be addressed by the healthcare team. Notably, the most prevalent presumed diagnostic hypothesis represents a major issue of concern in general hospitals: organic disorders, which, left undiagnosed, can lead to death; depression, which affects disease prognosis; and personality disorders, which may cause adverse events. Further studies should address the consistency of the hypothesis achieved through risk discussion, thereby clarifying its contribution to quality of care. In conclusion, the PRE-CL can be an important tool to address mental health situations in general hospitals.