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High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality.
Journal of Personality Disorders ( IF 2.3 ) Pub Date : 2021-03-04 , DOI: 10.1521/pedi_2021_35_508
Robert Gregory 1 , Susan D Sperry 1 , Daniel Williamson 1 , Rachael Kuch-Cecconi 1 , Garry L Spink 2
Affiliation  

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.

中文翻译:

接受自杀的精神病患者边缘人格障碍患病率较高。

边缘性人格障碍(BPD)与自杀倾向的高风险和医疗保健的高利用率有关;然而,自杀性住院患者的BPD患病率和特征尚不清楚。在本研究中,有72名因自杀风险入院的成人精神病住院患者中,BPD患病率很高(n = 31; 43.1%),但有68%的人被误诊为误诊提供者。与没有BPD的患者相比,患有BPD的患者要年轻得多,被处方使用更多的精神科药物,抑郁的程度更高,自杀观念也更大。BPD患者在出院后30、90和180天被再次送往精神病医院的可能性也是前三天平均每名患者住院治疗近9天的三倍。在此样本中,BPD高度流行,诊断不足,
更新日期:2021-03-04
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