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A Systematic Review of Studies of the Cost-Effectiveness of Mental Health Consultation-Liaison Interventions in General Hospitals

Received Oct. 17, 2002; revision received March 14, 2003; accepted March 31, 2003. From the Mental Health Department, Albert Einstein Hospital, São Paulo, Brazil; the Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil; and the Conselho Nacional de Desenvolvimento Cientifico e Technológico (CNPq) (the Brazilian Research Council), São Paulo, Brazil. Address reprint requests to Dr. Andreoli, Av. Albert Einstein 627/701, 05651-901, São Paulo, Brazil; paola{at}einstein.br (e-mail).
This study was developed as part of the fulfillment of the doctoral degree requirements of Dr. Andreoli. Supported by grant 98/12424-8 from Fundação de Amparo à Pesquisa do Estado de São Paulo (the State of São Paulo Research Funding Council) and by CNPq.

A systematic review of cost-effectiveness analyses of mental health consultation-liaison interventions in general hospitals was conducted. Few studies have evaluated the cost-effectiveness of consultation-liaison interventions, and only two articles met the criteria for inclusion in the review. The comparable variable was length of the hospital stay. It could not be concluded that psychiatric consultation had an effect on the duration of hospital stays. In one of the studies, the group that received psychiatric consultation showed improvement in depressive symptoms. Additional studies would have been relevant to this review if they had replicated clinical practice by using a naturalistic research design.

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