Journal
PSYCHIATRY RESEARCH
Volume 186, Issue 2-3, Pages 287-292Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2010.06.018
Keywords
Borderline personality disorder; Suicide attempt; Emergency room; Crisis intervention; 3-month follow-up; Self-harm
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This study investigated whether crisis intervention (Cl) at the General Hospital is a suitable management strategy among borderline patients referred to the emergency room (ER) for deliberate self-harm. Two patient cohorts (n = 200) meeting DSM-IV Borderline Personality Disorder criteria, were prospectively assessed for repeated deliberate self-harm and service consumption. At ER discharge, 100 subjects received Cl, while 100 comparison subjects (recruited before the implementation of Cl) were assigned to treatment as usual (TAU). At 3-month follow-up, a high proportion of repeated deliberate self-harm and hospitalization in the global study sample was found. However rates were lower in the Cl group: 8% repeated deliberate self-harm and 8% psychiatric hospitalization, versus 17% and 56% in the TAU group. The global expenditure for psychiatric hospitalization was 728,840 Swiss Francs (CHF) for Cl and 914,340 for TAU. This study indicates that associated with mean hospitalization/relapse rates, Cl may be a suitable management strategy for acutely suicidal borderline patients. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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