A proposed clinical pathway for the patients with Borderline Personality Disorder presenting to Emergency Departments-Reference-Cited by-同舟云学术

A proposed clinical pathway for the patients with Borderline Personality Disorder presenting to Emergency Departments

Published:2023-04-05 Issue:4 Volume:31 Page:458-462
ISSN:1039-8562
Container-title:Australasian Psychiatry
language:en
Short-container-title:Australas Psychiatry

Author:

Webb Beatrice¹^ORCID,Looi Jeffrey CL²^ORCID,Allison Stephen³^ORCID,Nance Michael⁴,Dhillon Rohan¹,Bastiampillai Tarun⁵^ORCID

Affiliation:

1. College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia

2. Academic Unit of Psychiatry and Addiction Medicine, The Australian National University, School of Medicine and Psychology, Canberra Hospital, Canberra, ACT, Australia; Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia

3. College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia

4. Margaret Tobin Centre, Flinders Medical Centre, SA, Australia

5. College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; Department of Psychiatry, Monash University, Clayton, VIC, Australia; Consortium of Australian-Academic Psychiatrists for Independent Policy Research and Analysis (CAPIPRA), Canberra, ACT, Australia

Abstract

Objective Emergency Department (ED) care of repeated self-injury, intensive affective lability, and interpersonal dysfunction associated with borderline personality disorder (BPD) is challenging. We propose an evidence-based acute clinical pathway for people with BPD. Conclusion Our standardised evidence-based short-term acute hospital treatment pathway includes structured ED assessment, structured short-term hospital admission when clinically indicated, and immediate short-term (4-sessions) clinical follow-up. This approach could be adopted nationally to reduce iatrogenic harm, acute service overdependence and negative healthcare system impacts of BPD.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Link

http://journals.sagepub.com/doi/pdf/10.1177/10398562231167976

Reference21 articles.

1. Brief Reports: Prospective Assessment of Treatment Use by Patients With Personality Disorders

2. Crisis-focused psychosocial interventions for borderline personality disorder: systematic review and narrative synthesis

3. Bigotry and borderline personality disorder

4. Borderline Personality Disorder in the Emergency Department: Good Psychiatric Management

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1. A clinical pathway for the management of people with borderline personality disorder in emergency departments must not include a ‘risk assessment’;Australasian Psychiatry;2024-02-25