CPG for Eating Disorders

8.2. In eating disorders, what clinical criteria may be usefulto assess referral amongst the health care resources availablein the NHS?8.2.1. Referral to mental health servicesCriteria for referral from primary care to mental health services (CSMA and CSMIJ) are asfollows:• When there is an established diagnosis of eating disorder.• Weight loss equal to or higher than 10%-25% of weight, without a cause to account for it.• Presence of regular bulimic episodes, meaning over-eating and/or persistent purgingbehaviour (self-induced vomiting, laxative abuse and use of diuretics).• Presence of associated psychopathological disturbances.• Lack of disease awareness.• If, despite following PC indications, weight and bulimic behaviour do not improve.8.2.2. Referral to emergency hospitalisationCriteria for referral from primary care to emergency hospitalisation (Emergency service of ageneral hospital) to receive emergency medical treatment are as follows:• Weight loss >50% in the last 6 months (30% in the last 3 months).• Consciousness disturbances.• Convulsions.• Dehydration.• Severe liver or kidney disturbances.• Pancreatitis.• Decreased potassium