Citation

Vera-Varela C, Giner L, Baca-Garcia E, Barrigón ML. Psiquiatr. Biol. (Barcelona, Spain) 2019; 26(1): 1-6.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.psiq.2019.02.003

PMID

unavailable

Abstract

Managing patients with borderline personality disorder can pose a substantial challenge for psychiatrists. This is especially the case when patients with this disorder are seen in the emergency room, as clinicians must make rapid decisions that balance clinical benefit and the will of the patient, fostering their autonomy and participation. A review is presented in this article of the strategies for practical management of crises. Based on the most recent clinical guidelines, a series of insights are provided for facing these situations, including recommendations based on scientific evidence, as well as the key steps for assessing suicidal behaviour, which is one of the most frequent causes behind visits to the emergency department in this patient population. Finally, a review is presented on the different management approaches and frameworks, analysing the indications and aims of hospital admission. © 2019 The Authors

Language: en

Keywords

human; Suicide; Review; Suicide risk; Borderline personality disorder; suicidal behavior; Self-injurious behaviour; Crisis; hospital admission; practice guideline; emergency ward; borderline state