Borderline Personality Disorder: What Predicts Acute Psychiatric Readmissions?

Author:

Furnes Desiré12,Gjestad Rolf12,Mehlum Lars2,Hodgekins Joanne3,Kroken Rune A.45,Oedegaard Ketil456,Mellesdal Liv7

Affiliation:

1. Centre for Research and Education in Forensic Psychiatry, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway

2. Research Department, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway

3. Department of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich, United Kingdom

4. Norment, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway

5. Department of Clinical Medicine, University of Bergen, Norway

6. K. G. Jebsen Centre for Research on Neuropsychiatric Disorders, Bergen, Norway

7. National Centre for Suicide Research and Prevention, University of Oslo, Oslo, Noway

Abstract

Individuals diagnosed with borderline personality disorder (BPD) often struggle with chronic suicidal thoughts and behaviors and have frequent acute psychiatric admissions. Prevention of serial admissions and disruptions in long-term treatment strategies is needed. This study explored predictors of how frequently and how quickly patients diagnosed with BPD are readmitted after an index psychiatric admission. The authors identified self-harming behavior as a predictor of readmission frequency, whereas depression and hallucinations and delusions predicted time elapsed between the index admission and the first readmission. The authors recommend that predictors of readmissions should be carefully monitored and treated following index admission.

Publisher

Guilford Publications

Subject

Psychiatry and Mental health,Clinical Psychology

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