Prevalence of borderline personality disorder in immigrants in a psychiatric inpatient setting

2013 ◽  
Vol 48 (5) ◽  
pp. 488-488 ◽  
Author(s):  
Friedrich Nielsen ◽  
Marc Ziegenbein ◽  
Marcel Sieberer
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Inpatient ◽  
Borderline Personality ◽  
Inpatient Setting

Prevalence of borderline personality disorder in immigrants in a psychiatric inpatient setting

2011 ◽  
Vol 26 (S2) ◽  
pp. 469-469 ◽  
Author(s):  
F. Nielsen ◽  
M. Ziegenbein ◽  
M. Sieberer
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Inpatient ◽  
Borderline Personality ◽  
Immigrant Group ◽  
Psychiatric Clinic ◽  
Inpatient Setting ◽  
Immigrant Background ◽  
Indigenous Group ◽  
Prospective Study Design

IntroductionInformation about the relationship between personality disorder and ethnicity or migration is sparse. The few studies regarding the prevalence of borderline personality disorder (BPD) in immigrants compared to an indigenous population are inconsistent.AimsThe aim of the present study was to compare the frequency of a BPD diagnosis in psychiatric inpatients with and without an immigrant background.Methods2494 consecutive patients over a 3-year period at a psychiatric university hospital were reviewed. Data included socio-demographic and clinical variables and also information about an immigrant background. The psychiatric diagnosis was limited to information available from the digital documentation system of the psychiatric clinic and additionally from discharge letters. The diagnosis of borderline personality disorder was based on ICD-10 criteria.Results374 individuals (15%) of the study population had an immigrant background. The rates of BPD were 6.5% in the indigenous group (n = 2120) vs. 3.5% in the immigrant group (n = 374). The difference between the indigenous and the immigrant group regarding the rates of BPD-diagnoses was statistically significant (chi2 = 5.02, df = 1, p = 0.025).ConclusionsThe findings suggest that in a clinical sample BPD was diagnosed less frequently in the immigrant group than in the indigenous group. Therefore, our results do not support the concept of immigration as a risk factor for BPD. However, future investigations with a prospective study design and at epidemiological levels need to be conducted in order to get more precise information about the prevalence of BPD in different immigrant groups.

scholarly journals Bipolar Disorder and Comorbid Borderline Personality Disorder: Patient Characteristics and Outcomes in US Hospitals

Medicina ◽  
2019 ◽  
Vol 55 (1) ◽  
pp. 13 ◽  
Author(s):  
Rikinkumar S. Patel ◽  
Geetha Manikkara ◽  
Amit Chopra
Keyword(s):  
Bipolar Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicide Risk ◽  
Borderline Personality ◽  
Inpatient Setting ◽  
Inpatient Outcomes ◽  
Increased Risk ◽  
Bipolar Patients ◽  
The Impact

Background and objectives: The quality of life and disease outcomes in bipolar patients, including increased risk of psychiatric hospitalizations and suicide, are adversely affected by the presence of borderline personality disorder (BPD). Our study aims to determine the impact of BPD on the inpatient outcomes of bipolar disorder patients. Methods: We used Nationwide Inpatient Sample from the US hospitals and identified cases with bipolar disorder and comorbid BPD (N = 268,232) and controls with bipolar disorder only (N = 242,379), using the International Classification of Diseases, 9th Revision, and Clinical Modification codes. We used multinomial logistic regression to generate odds ratios (OR) and evaluate inpatient outcomes. Results: The majority of the bipolar patients with BPD were female (84.2%), Caucasian (83.1%) and 18–35 years age (53.9%). Significantly longer inpatient stays, higher inpatient charges, and higher prevalence of drug abuse were noted in bipolar patients with BPD. The suicide risk was higher in bipolar patients with BPD (OR = 1.418; 95% CI 1.384–1.454; p <0.001). In addition, utilization of electroconvulsive treatment (ECT) was higher in bipolar patients with comorbid BPD (OR = 1.442; 95% CI 1.373–1.515; p <0.001). Conclusions: The presence of comorbid BPD in bipolar disorder is associated with higher acute inpatient care due to a longer inpatient stay and higher cost during hospitalization, and higher suicide risk, and utilization of ECT. Further studies in the inpatient setting are warranted to develop effective clinical strategies for optimal outcomes and reduction of suicide risk in bipolar patients with BPD.

scholarly journals The Psychoanalytic-Interactional Method (PiM) for Adolescents with Borderline Personality Disorder

2020 ◽  
Vol 10 (3) ◽  
pp. 172-181
Author(s):  
Annette Streeck-Fischer ◽  
Charline Logé ◽  
Simone Salzer
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Controlled Trial ◽  
Borderline Personality ◽  
Psychodynamic Therapy ◽  
Case Vignette ◽  
Inpatient Setting ◽  
Adolescent Treatment ◽  
Randomized Controlled ◽  
Therapeutic Study

Background: Studies have shown the practicality of diagnosing borderline personality disorder (BPD) in children from the age of 12 years (cf. ICD-11, DSM-5). Research in the psychodynamic therapy of adolescents with BPD has been rare to date, however, there do exist some studies on the efficacy and effectiveness of psychodynamic therapy in adults with borderline personality disorder. Methods: We adapted the psychoanalytic-interactional method (PiM), originally developed in the treatment of severely disturbed adults, to the conditions of adolescents diagnosed with borderline personality disorder or structural deficits. Randomized controlled trial in an inpatient setting (Salzer et al., 2013; Salzer et al., 2014) showed that PIM is efficacious for adolescents with BPD symptoms. We describe the approach to treatment in detail. Results: The results of the therapeutic study and the short case vignette show that PiM is a useful method in both inpatient and outpatient treatment and meets the specific requirements of adolescent treatment.

scholarly journals Are acute psychiatric units providing adequate inpatient services for borderline personality disorder patients?

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S330-S330
Author(s):  
Siew Ling ◽  
Joji George
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Inpatient ◽  
Borderline Personality ◽  
Sample Population ◽  
Retrospective Case ◽  
Nice Guidelines ◽  
Active Involvement ◽  
Inpatient Services ◽  
Psychiatric Inpatient Services

AimsTo assess the adherence to NICE guidelines CG78 (1.4) regarding the inpatient services provided for BPD patients at an acute psychiatric unit (The Oleaster).Borderline personality disorder (BPD) patients are frequent users of psychiatric inpatient services. However, evidence suggests that inpatient treatment is ineffective in the long-term recovery of such patients. The inpatient services at the Oleaster will be audited against NICE guidelines for BPD. We hope to improve the care of patients with BPD and ensure effective use of psychiatric resources.MethodRetrospective case notes review of 35 patients admitted into the Oleaster from 1/11/2018–31/10/2019. This was taken from an initial sample of 72. Patients were excluded if they were admitted for other concomitant mental or behavioural problems (except problem use of tobacco, drugs or alcohol).Result69% of patients were referred to other mental health services (e.g CRHT/HTT, other local alternatives, liaison team) prior to admission. There was no evidence of referrals in 31% of the sample population.The reasons for admission include significant risks to themselves/others (n = 14) and detention under MHA (n = 14). Reasons were not noted in 7 patients.Advance agreement on the length and purpose of admission took place in 19 and 27 patients respectively. Discussion of potential harms and benefits of admission only took place in 4 patients. Discussion was not applicable in 2 patients who lacked capacity.Of the patients admitted ≥2 times in the previous 6 months, only 38% had a CPA review arranged. It was not arranged in the remaining 62%.ConclusionThere is room for improvement in the appropriate admission and documentation of BPD patients. Referral prior to admission was well adhered but documentation was unclear. Implementing a set checklist before admission could be recommended. Active involvement of patients was inadequate. It is especially lacking in regard to informing patients of the potential harms of admission. This can be improved by educating patients and staff on this matter.CPA reviews were not arranged in a timely manner. Placing an alert on patients’ records when they are admitted again within the last 6 months would help to reduce this issue. Overall, greater effort is required to ensure patient's most current needs are met and that limited psychiatric resources are used effectively.

scholarly journals Individual Factors Underlying Suicidal Behaviors in Patients with Borderline Personality Disorder: A Qualitative Study

2022 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Marjan Hajfiroozabadi ◽  
Jamileh Mohtashami ◽  
Foroozan Atashzadeh-Shoorideh
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Health Professionals ◽  
Suicide Attempts ◽  
Psychiatric Inpatient ◽  
Borderline Personality ◽  
Individual Factors ◽  
Suicidal Behaviors ◽  
Limited Information ◽  
The Individual

Background: Borderline personality disorder (BPD) is associated with a high risk of suicide. Limited information is available on the individual factors underlying suicidal behaviors, especially suicide attempts (SAs), in Iranian patients with BPD. Objectives: This study aimed to analyze the individual factors underlying suicidal behaviors in patients with BPD. Methods: This was a qualitative descriptive study that was conducted from May 2020 to February 2021 in Tehran and Karaj, Iran, on 23 participants, including 14 patients with BPD and seven mental health professionals, as well as two members of their families. The research environment included psychiatric inpatient wards, psychiatric emergencies, and psychiatric clinics. Participants were selected through purposive sampling. Data were collected using semi-structured interviews and were analyzed using conventional content analysis. Results: Data analysis revealed five main themes and 15 sub-themes related to the individual factors underlying the identification and prediction of the risk for suicidal behaviors and SAs. The extracted themes included “psychological pain and loneliness”, “defects in the distinction and integration of emotions”, “unconventional behavior and emotion”, “pervasive incompatibility”, and “breakdown of the self-integrity”. Conclusions: The BPD is a complex and challenging disorder in which patients with BPD usually tend to engage in suicidal behaviors, and with the emergence of individual factors underlying the occurrence of such behaviors, appropriate preventive measures and interventions can be taken to reduce suicide-related behaviors such as suicidal thoughts and planning, as well as SAs.

scholarly journals An Overview on Borderline Personality Disorder

2021 ◽  
pp. 238-245
Author(s):  
Faisal Awad S. Albalawi ◽  
Ahmed Saad A. Albalawi ◽  
Ali Abdulrahman A. Alshehri ◽  
Abdulaziz Saed A Albalawi ◽  
Abdulaziz Muteb F. AlfaqiR ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Dialectical Behavior Therapy ◽  
Psychiatric Inpatient ◽  
Borderline Personality ◽  
High Rate ◽  
Psychiatric Disease ◽  
Trauma Symptoms ◽  
Increased Risk

Borderline Personality Disorder (BPD) is a psychiatric disease marked by unstable interpersonal relationships, fear of abandonment, difficulty regulating emotions, feelings of emptiness, persistent dysphoria or sadness, impulsivity, and increased risk-taking behaviors. The prevalence of borderline personality disorder has been reported at 11 percent in the psychiatric outpatient community and as high as 20% in the psychiatric inpatient population. Patients with BPD have a high rate of morbidity, which makes medical treatment more difficult. Although the role of genetics in BPD is unclear, inheritance of BPD appears to be considerable. Life events are also found to play a role in the development of BPD. The most important risk factor for the development of BP is childhood trauma. Symptoms that have been present since adolescence or early adulthood and manifest in a variety of settings are used to make the diagnosis. There are no lab or imaging tests available to aid in the diagnosis. Patients with borderline personality disorder benefit from three evidence-based treatments. Mentalizing-based therapy (MBT). Dialectical behavior therapy (DBT) and transference-focused psychotherapy (TFP). In this review we will be discussing epidemiology, etiology, clinical features diagnosis and treatment of BPD.

Effectiveness of dialectical behaviour therapy for borderline personality disorder in an inpatient setting

2006 ◽  
Vol 44 (8) ◽  
pp. 1211-1217 ◽  
Author(s):  
Christoph Kröger ◽  
Ulrich Schweiger ◽  
Valerija Sipos ◽  
Ruediger Arnold ◽  
Kai G. Kahl ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Inpatient Setting ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy
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