scholarly journals Psychiatrists’ motives for compulsory care of patients with borderline personality disorder – a questionnaire study

2021 ◽  
pp. 147775092110401
Author(s):  
Antoinette Lundahl ◽  
Johan Hellqvist ◽  
Gert Helgesson ◽  
Niklas Juth
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Inpatient Care ◽  
Suicide Risk ◽  
Borderline Personality ◽  
Descriptive Statistics ◽  
Emergency Units ◽  
Response Alternatives ◽  
Compulsory Care ◽  
Qualitative Descriptive

Introduction Borderline personality disorder patients are often subjected to inpatient compulsory care due to suicidal behaviour. However, inpatient care is usually advised against as it can have detrimental effects, including increased suicidality. Aim To investigate what motives psychiatrists have for treating borderline personality disorder patients under compulsory care. Materials and Methods A questionnaire survey was distributed to all psychiatrists and registrars in psychiatry working at mental health emergency units or inpatient wards in Sweden. The questionnaire contained questions with fixed response alternatives, with room for comments, about the respondents’ motives for practising compulsory care of borderline personality disorder patients. The responses were analysed quantitatively with descriptive statistics, and comments were analysed with qualitative descriptive content analysis. Results The psychiatrists’ views were divided on when it was justified to treat borderline personality disorder patients under compulsory care, as were their views on borderline personality disorder patients’ decision competence. When there was an assessed risk of harm, 53% were positive to compulsory care of decision-competent borderline personality disorder patients and another 31% because they considered the patients to be decision incompetent in such situations. Adding the risk of harm caused many respondents to alter their assessment of the patient from decision competent to decision incompetent. Conclusion The large variations in doctors’ opinions indicate that the care of borderline personality disorder patients is arbitrary. Further, the assessed risk of harm increases the use of compulsory care, even though such care is advised against in clinical guidelines, has questionable legal support, and could lead to an increased suicide risk over time.

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.

B·RIGHT: usability and satisfaction with a mobile app for self-managing emotional crises in patients with borderline personality disorder

2020 ◽  
pp. 103985622092432
Author(s):  
Álvaro Frías ◽  
Carol Palma ◽  
Ana Salvador ◽  
Elena Aluco ◽  
Sara Navarro ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotion Dysregulation ◽  
Borderline Personality ◽  
Mobile App ◽  
Negatively Associated ◽  
System Usability Scale ◽  
Emergency Units ◽  
Symptom List ◽  
User Friendly

Objective: Borderline personality disorder (BPD) is a severe mental disorder characterized by emotional crises. To date, crisis interventions for BPD have been conducted via telephone calls and emergency units, which are associated with an extra amount of resources. The aim of this research was to test the usability and satisfaction with a psychotherapeutic mobile app for self-managing crises in BPD. Method: The B·RIGHT app was designed based on Artificial Intelligence psychotherapeutic algorithms. Usability and satisfaction with the app were assessed in 25 outpatients diagnosed with BPD (84% female, mean age = 35.80 years) using the System Usability Scale (SUS) and other questionnaires. Clinical features were assessed using the Borderline Symptom List, the Difficulties in Emotion Regulation Scale and Beck’s Depression Inventory. Results: Patients with BPD considered the app user-friendly (mean total score = 4.03) and highly satisfactory (mean total score = 4.02), resulting in a positive user experience (mean total score = 4.09). Total usability was negatively associated with age ( r = −.44), positively associated with educational level ( rho = .47) and with overall emotion dysregulation ( r = .51), and negatively associated with depression severity ( r = −.47). Conclusions: The usability and satisfaction testing of the B·RIGHT app showed promising findings, which warrant further research in order to validate its effectiveness.

scholarly journals Dialectical Behavior Therapy for High Suicide Risk in Individuals With Borderline Personality Disorder

2015 ◽  
Vol 72 (5) ◽  
pp. 475 ◽  
Author(s):  
Marsha M. Linehan ◽  
Kathryn E. Korslund ◽  
Melanie S. Harned ◽  
Robert J. Gallop ◽  
Anita Lungu ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicide Risk ◽  
Borderline Personality

scholarly journals Predicting role of meaning in life on depression, hopelessness, and suicide risk among Spanish Borderline Personality Disorder patients

2014 ◽  
Vol 13 (4) ◽  
Author(s):  
Joaquín García-Alandete ◽  
José Heliodoro Marco Salvador ◽  
Sandra Pérez-Rodríguez
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Meaning In Life ◽  
Suicide Risk ◽  
Borderline Personality ◽  
Beck Hopelessness Scale ◽  
Purpose In Life Test ◽  
Negative Predictor ◽  
Risk Scale

The relation between the meaning in life and depression, hopelessness, and suicide risk in a sample of Spanish Borderline Personality Disorder patients is analyzed. The hypothesis suggested that meaning in life is a significant negative predictor of these variables. Participed 80 Spanish Borderline Personality Disorder patients (75 women, 5 men) ranged 16-60 years old, M = 32.21, SD = 8.85, from a psychological private practice. Spanish adaptations of the Purpose-In-Life Test, the Beck Depression Inventory-II, the Beck Hopelessness Scale, and the Plutchick’s Suicide Risk Scale were used. Analysis included descriptive, correlations, and simple linear regression. Results showed that Meaning in life was negatively related to depression, hopelessness, and suicide risk. It is necessary to introduce the evaluation of the meaning in life in the assessment of patients with Borderline Personality Disorder and to include in the psychotherapeutic intervention elements to enhance their perception and experience of meaning in life.

Assessing, Managing, and Resolving Suicide Risk in Borderline Personality Disorder

2017 ◽  
Author(s):  
Adam Carmel ◽  
Jeffrey Sung ◽  
Katherine Anne Comtois
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicide Risk ◽  
Treatment Strategies ◽  
Evidence Base ◽  
Borderline Personality ◽  
Evidence Based ◽  
Theoretical Approaches ◽  
Difficult Time ◽  
Suicidal Patients

The aim of this chapter is to aid the clinician in managing and resolving suicidality by providing an overview of different theoretical approaches to conceptualizing, assessing, managing, and treating suicidal behaviors in borderline personality disorder (BPD). After a brief introduction to the evidence base for these treatments, the suicide risk management and treatment strategies are examined for five evidence-based psychotherapies designed for BPD. Psychotherapies for suicidal patients in general (not specific to BPD) are also considered. Finally, conclusions drawn from comparing and contrasting these psychotherapies focus on key themes to improve clinicians’ approach to patients with BPD at their most difficult time.

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