A proposed clinical pathway for the patients with Borderline Personality Disorder presenting to Emergency Departments

Beatrice Webb, Jeffrey C.L. Looi, Stephen Allison, Michael Nance, Rohan Dhillon, Tarun Bastiampillai

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Abstract

Objective: Emergency Department (ED) care of repeated self-injury, intensive affective lability, and interpersonal dysfunction associated with borderline personality disorder (BPD) is challenging. We propose an evidence-based acute clinical pathway for people with BPD. 

Conclusion: Our standardised evidence-based short-term acute hospital treatment pathway includes structured ED assessment, structured short-term hospital admission when clinically indicated, and immediate short-term (4-sessions) clinical follow-up. This approach could be adopted nationally to reduce iatrogenic harm, acute service overdependence and negative healthcare system impacts of BPD.

Original languageEnglish
Pages (from-to)458–462
Number of pages5
JournalAustralasian Psychiatry
Volume31
Issue number4
Early online date5 Apr 2023
DOIs
Publication statusPublished - Aug 2023

Keywords

  • borderline personality disorder
  • clinical pathway
  • emergency department

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