Site matters: Winning the hearts and minds of patients in a cardiology clinic

Rachel A. Annunziato, David Rubinstein, Saqib Sheikh, Martin Maurer, Gad Cotter, Mary M. McKay, Olga Milo-Cotter, Jack M. Gorman, Eyal Shemesh

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


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.

Original languageEnglish
Pages (from-to)386-391
Number of pages6
Issue number5
StatePublished - 2008


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