How do you determine whether borderline personality disorder patients require hospitalization?

I am noticing that, in my program, whether or not borderline patients are hospitalized after impulsive suicidal or parasuicidal acts is dealt with very inconsistently. It seems like most providers try to discern whether or not the patient is "in crisis" or "decompensated". However, in my opinion there is often unreliable data to discern this with, which leads to very subjective impressions of this and inconsistencies in management. My assumption in writing this is that the purpose of... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychiatry Source Type: forums

Related Links:

Suicidal behavior (SB) spectrum is nuclear in the clinic and management of Borderline Personality Dis- order (BPD). Although in recent research papers non-suicidal self-injury behavior (NSSI) and suicidal behavior (SB) differ in intentionality, frequency a...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Risk Factor Prevalence, Injury Occurrence Source Type: news
Actas Esp Psiquiatr. 2021 Sep;49(5):199-204. Epub 2021 Sep 1.ABSTRACTSuicidal behavior (SB) spectrum is nuclear in the clinic and management of Borderline Personality Dis- order (BPD). Although in recent research papers non-suicidal self-injury behavior (NSSI) and suicidal behavior (SB) differ in intentionality, frequency and lethality; these two behaviors have been described concurrently with a controversial distinction. Few works talk about the reason for the co-occurrence between both entities in the psychiatric population in general and in BPD in particular. The aim of the report is to analyze the link between SB and N...
Source: Actas Espanolas de Psiquiatria - Category: Psychiatry Authors: Source Type: research
Child Psychiatry Hum Dev. 2021 Sep 15. doi: 10.1007/s10578-021-01239-x. Online ahead of print.ABSTRACTThis work presents a review of research papers examining the role of emerging personality pathology in suicidal ideation and behaviours in adolescence. Initially, 226 studies were selected in line with PRISMA guidelines, and 33 articles were finally included in this review. The data show percentages of any personality disorder diagnosis ranging from 19.5 to 22.8% in suicide attempters, while in autopsy studies, the rate of personality disorder diagnosis varied between 29.6 and 42.1%. The overwhelming majority of the studie...
Source: Child Psychiatry and Human Development - Category: Child Development Authors: Source Type: research
This study examined whether dissociation differentiated individuals with a history of suicide attempts from those with a history of suicide ideation, and investigated whether other relevant constructs explain this relationship. Sample 1 included 754 undergraduates (Mage = 21, 79% female) who completed a battery of self-report measures. Sample 2 included 247 undergraduates (Mage = 19, 74% female) who completed a self-report measure of dissociation, a clinical interview regarding suicide history, and four counterbalanced behavioral pain tolerance tasks. In both samples, dissociation was elevated in lifetime attempters compar...
Source: Behavior Therapy - Category: Psychiatry & Psychology Authors: Source Type: research
Dissociative symptoms and suicidality are transdiagnostic features of posttraumatic stress disorder (PTSD) and borderline personality disorder (BPD). The primary objective of this study was to examine associations between dissociation (i.e., depersonalizat...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Sleep disturbance is associated with elevated suicidal ideation and negative affect. To date, however, no study has investigated the temporal relationship between sleep and suicidality among those diagnosed with borderline personality disorder (BPD). This ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
AbstractDissociative symptoms and suicidality are transdiagnostic features of posttraumatic stress disorder (PTSD) and borderline personality disorder (BPD). The primary objective of this study was to examine associations between dissociation (i.e., depersonalization and derealization) and suicidality (i.e., self-harm and suicide attempts) among individuals with PTSD and BPD. We analyzed data from the 2012 –2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III;N = 36,309). The Alcohol Use Disorder and Associated Disabilities Interview Schedule forDSM-5 was used to assess lifetime PTSD and B...
Source: Journal of Traumatic Stress - Category: Psychiatry & Psychology Authors: Tags: RESEARCH ARTICLE Source Type: research
The number of individuals committing suicide is increasing. Such behavior is often carried out by individuals with borderline personality disorder (BPD). These individuals will commit suicide because they feel hopeless, anxious, and impulsive. They need pe...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
More News: Borderline Personality Disorder | Depression | Psychiatry | Students | Suicide | Universities & Medical Training