Does Age Moderate the Effect of Personality Disorder on Coping Style in Psychiatric Inpatients?

2012 ◽  
Vol 18 (3) ◽  
pp. 187-198 ◽  
Author(s):  
JANINE STEVENSON ◽  
HENRY BRODATY ◽  
PHILIP BOYCE ◽  
KAREN BYTH
Keyword(s):  
Personality Disorder ◽  
Coping Style ◽  
Psychiatric Inpatients

Emotion-Oriented Coping Style Predicts Self-Harm in Response to Acute Psychiatric Hospitalization

Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Jacqueline M. Frei ◽  
Vladimir Sazhin ◽  
Melissa Fick ◽  
Keong Yap
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Hospitalization ◽  
Coping Styles ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Self Report ◽  
Therapeutic Interventions ◽  
Coping Behaviors ◽  
Self Harm

Abstract. Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.

PRN Medication for Psychiatric Inpatients

1987 ◽  
Vol 32 (3) ◽  
pp. 199-203 ◽  
Author(s):  
John L. Craven ◽  
Peter M. Voore ◽  
George Voineskos
Keyword(s):  
Personality Disorder ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Teaching Hospital ◽  
Psychotropic Medication ◽  
Psychotropic Drugs ◽  
Psychiatric Inpatient ◽  
Psychiatric Inpatients ◽  
Psychotropic Medications ◽  
Inpatient Units

Little is known about the extent of the use of prn psychotropic medication in psychiatric inpatient units. A survey of the prn prescription and administration of psychotropic drugs in a psychiatric teaching hospital revealed that a large number of inpatients were prescribed and administered such drugs on a prn basis. Although 50% of the prescriptions were never administered, only 25% were actively discontinued by physicians. A diagnosis of personality disorder was the factor most frequently associated with the rate of prn prescriptions and of administrations. A large number of prn prescriptions had no instructions for indications, minimum time spacing between doses or maximum daily dosage. It is suggested that hospitals monitor the prn use of psychotropic medications in their inpatient units, and explore the reasons for such use. Psychotropic drug use on a prn basis should preferably be reserved for emergencies, and the instructions of prn prescriptions should be clear and detailed.

Borderline Personality Traits in Psychiatric Inpatients

1986 ◽  
Vol 58 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Scott Snyder ◽  
Wesley M. Pitts ◽  
Alex D. Pokorny
Keyword(s):  
Personality Disorder ◽  
Rating Scales ◽  
Empirical Studies ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Subjective Rating ◽  
Borderline Patients ◽  
Depression Scales ◽  
Relationship Of ◽  
Borderline Psychopathology

While some believe the borderline personality disorder cuts across a variety of diagnoses, others feel it is a discrete clinical entity. The present study was designed to assess retrospectively the degree of borderline psychopathology in a group of 4800 psychiatric inpatients with a variety of primary diagnoses (i.e., major affective disorder, dementia, etc.) and to measure the relationship of schizophrenia and depression scales with borderline traits. Patients with schizophrenia or personality disorder had the most marked borderline traits. Borderline psychopathology was closer to the schizophrenic spectrum than had been anticipated. Objective rating scales for depression were more powerful discriminators of depression in borderline patients compared to the subjective rating scales. Findings are discussed in light of the theoretical literature and recent empirical studies.

Bedside Stuffed Animals and Borderline Personality

1996 ◽  
Vol 79 (2) ◽  
pp. 624-626 ◽  
Author(s):  
Lawrence A. Labbate ◽  
David M. Benedek
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Adult Female ◽  
Psychiatric Diagnosis ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Female Patients ◽  
Clinical Clue ◽  
The Relationship

We explored the relationship between psychiatric diagnosis and the presence of stuffed animals at the bedside in a population of adult female psychiatric inpatients. One of the authors made approximately weekly surveys of the wardrooms of adult psychiatric inpatients over twelve months for the presence of displayed stuffed animals. The observer was blind to the diagnosis of 80% of the patients, and the study or its hypothesis was not known to other physicians. The discharge diagnoses of patients displaying stuffed animals were recorded and compared with those of the ward population in general. Among 36 female patients who displayed stuffed animals in their rooms, Borderline Personality Disorder was diagnosed in 22 (61%) of these patients. Of 447 adult female patients admitted to the same unit over the same period, only 17% were noted to be diagnosed Borderline Personality Disorder. Stuffed animals as a bedside clinical clue may suggest evaluation for Borderline Personality Disorder.

High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality

2021 ◽  
pp. 1-12
Author(s):  
Robert Gregory ◽  
Susan D. Sperry ◽  
Daniel Williamson ◽  
Rachael Kuch-Cecconi ◽  
Garry L. Spink
Keyword(s):  
Health Care ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Inpatient Care ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Care Utilization ◽  
High Prevalence

Borderline personality disorder (BPD) is associated with high risk of suicidality and high rates of health care utilization; however, the prevalence and characteristics of BPD among inpatients admitted for suicidality are unknown. In the present study of 72 adult psychiatric inpatients admitted for suicide risk, BPD was highly prevalent (n = 31; 43.1%), but 68% were misdiagnosed by admitting providers. Compared to patients without BPD, those with BPD were significantly younger, were prescribed more psychiatric medications, were more depressed, and had greater suicide ideation. Patients with BPD were also three times as likely to be readmitted to a psychiatric hospital at 30, 90, and 180 days postdischarge for an average of almost 9 days of inpatient care per patient for the first 180 days. In this sample, BPD was highly prevalent, underdiagnosed, and associated with frequent readmissions, findings that highlight the importance of improved recognition and access to specialized treatments.

High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality

2021 ◽  
Vol 35 (5) ◽  
pp. 776-787
Author(s):  
Robert Gregory ◽  
Susan D. Sperry ◽  
Daniel Williamson ◽  
Rachael Kuch-Cecconi ◽  
Garry L. Spink
Keyword(s):  
Health Care ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Inpatient Care ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Care Utilization ◽  
High Prevalence

Borderline personality disorder (BPD) is associated with high risk of suicidality and high rates of health care utilization; however, the prevalence and characteristics of BPD among inpatients admitted for suicidality are unknown. In the present study of 72 adult psychiatric inpatients admitted for suicide risk, BPD was highly prevalent (n = 31; 43.1%), but 68% were misdiagnosed by admitting providers. Compared to patients without BPD, those with BPD were significantly younger, were prescribed more psychiatric medications, were more depressed, and had greater suicide ideation. Patients with BPD were also three times as likely to be readmitted to a psychiatric hospital at 30, 90, and 180 days postdischarge for an average of almost 9 days of inpatient care per patient for the first 180 days. In this sample, BPD was highly prevalent, underdiagnosed, and associated with frequent readmissions, findings that highlight the importance of improved recognition and access to specialized treatments.

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