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

doi:10.1177/10398562231167976

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

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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 language	English
Pages (from-to)	458-462
Number of pages	5
Journal	Australasian Psychiatry
Volume	31
Issue number	4
DOIs	https://doi.org/10.1177/10398562231167976
Publication status	Published - Aug 2023

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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.",

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AU - Nance, Michael

AU - Dhillon, Rohan

AU - Bastiampillai, Tarun

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AB - 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.

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

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