Citation

Steinert T, Tschöke S, Uhlmann C. Nervenheilkd. 2010; 29(9): 565-570.

Copyright

(Copyright © 2010, Georg Thieme Verlag)

DOI

10.1055/s-0038-1628810

PMID

unavailable

Abstract

Self-harm is by definition frequent among patients with borderline personality disorder. It has various mental, social, and even neurobiological functions. Suicide attempts are frequent and indicate an increased suicide risk. Up to 10% of patients die from suicide, the percentage among all suicides is estimated between 9 and 33%. Therefore suicidal tendency is a typical reason for admission. Despite the elevated long-term suicide risk, hospital admission and length of stay have to be discussed critically, since evidence for its benefit is scarce. Hospitalisation can promote regressive tendencies with "manipulative" suicidal behaviour, increasing acts of selfharm and delegation of self-responsibility. A strategy for the strengthening of individual responsibility is required. Recommendations are given from the experiences of a crisis intervention ward. © Schattauer 2010.

Language: de

Keywords

human; Therapy; Borderline personality disorder; suicidal behavior; hospitalization; risk assessment; crisis intervention; Crisis intervention; review; length of stay; hospital patient; borderline state; Manipulative suicidal behaviour