TY - JOUR PY - 2010// TI - Management of deliberate self-harm, suicidal tendency, and manipulative suicidal tendency during in-patient treatment of patients with borderline personality disorder JO - Nervenheilkunde A1 - Steinert, T. A1 - Tschöke, S. A1 - Uhlmann, C. SP - 565 EP - 570 VL - 29 IS - 9 N2 - 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

LA - de SN - 0722-1541 UR - http://dx.doi.org/10.1055/s-0038-1628810 ID - ref1 ER -