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Medication utilization patterns and methods of suicidality in borderline personality disorder
Eugene H Makela1, Karen E Moeller, Jennifer E Fullen
1School of Pharmacy, West Virginia University, Morgantown, WV 26506-9520, USA. gmakela@hsc.wvu.edu
The Annals of Pharmacotherapy
|November 24, 2005
Summary
Patients with Borderline Personality Disorder (BPD) use more medications than controls. Clinicians should monitor BPD patients closely due to increased medication use and suicidal ideation.
Area of Science:
- Psychiatry
- Clinical Psychology
- Pharmacology
Background:
- Borderline Personality Disorder (BPD) is a complex psychiatric condition.
- BPD is marked by mood instability, relationship difficulties, and self-image issues.
- Patients with BPD may exhibit control issues through self-medication and interpersonal behaviors.
Purpose of the Study:
- To compare medication utilization in BPD patients versus a control group.
- To analyze and contrast suicidality methods between BPD patients and controls.
- To investigate one-year medication patterns and self-harm behaviors.
Main Methods:
- Retrospective chart review of 29 BPD patients and 29 controls.
- Study conducted at an academic medical center psychiatric hospital.
- Data collected over a one-year period.
Main Results:
- BPD patients received significantly more psychotropic, non-psychotropic, and total medications.
- No significant differences in overdose or cutting as suicidality methods.
- BPD patients had more Axis III diagnoses at discharge; 25% considered overdose.
Conclusions:
- Patients with BPD utilize more medications compared to individuals without the disorder.
- Suicidal ideation and attempts are prevalent in BPD.
- Close clinical monitoring of all medications for BPD patients is crucial.