High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality
- 1 October 2021
- journal article
- Published by Guilford Publications in Journal of Personality Disorders
- Vol. 35 (5), 776-787
- https://doi.org/10.1521/pedi.2021.35.5.776
Abstract
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.Keywords
This publication has 29 references indexed in Scilit:
- Randomized Controlled Trial of Outpatient Mentalization-Based Treatment Versus Structured Clinical Management for Borderline Personality DisorderAmerican Journal of Psychiatry, 2009
- A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder.Psychotherapy, 2008
- National Study of US Emergency Department Visits for Attempted Suicide and Self-Inflicted Injury, 1997-2001Annals of Emergency Medicine, 2005
- Axis II comorbidity of borderline personality disorder: description of 6‐year course and prediction to time‐to‐remissionActa Psychiatrica Scandinavica, 2004
- Suicidal Behavior in Borderline Personality Disorder: Prevalence, Risk Factors, Prediction, and PreventionJournal of Personality Disorders, 2004
- Axis I and Axis II disorders as predictors of prospective suicide attempts: Findings from the Collaborative Longitudinal Personality Disorders Study.Journal of Abnormal Psychology, 2003
- The PHQ-9Journal of General Internal Medicine, 2001
- Effects of Discharge Planning and Compliance With Outpatient Appointments on Readmission RatesPsychiatric Services, 2000
- Patterns of Comorbidity among DSM-III-R Personality DisordersPsychopathology, 2000
- Diagnostic characteristics and dispositions in suicidal hospitalized medical and surgical patientsGeneral Hospital Psychiatry, 1989