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[Suicidal behaviour in borderline personality disorder].

Lars Mehlum1, Anne Irene Jensen

  • 1Seksjon for selvmordsforskning og -forebygging, Instituttgruppe for psykiatri, Universitetet i Oslo, Sognsvannsveien 21, 0320 Oslo. lars.mehlum@medisin.uio.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 23, 2006
PubMed
Summary

Patients with borderline personality disorder (BPD) face high risks of self-harm and suicide. Long-term specialized treatments like Dialectical Behavior Therapy are more effective than short-term interventions for managing suicidal behavior in BPD.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Context:

  • Borderline personality disorder (BPD) is associated with significant risks of self-destructive and suicidal behaviors.
  • Individuals with BPD often present treatment challenges due to affective instability and impulsivity.

Purpose:

  • To discuss how specific treatment models address suicidal behavior in BPD patients.
  • To review the effectiveness of treatments for suicidal behavior in BPD.

Summary:

  • Key risk factors for suicidal crises in BPD include over-sensitivity to negative events, emotional instability, and impulsivity.
  • Effective management involves assessing general and situation-specific suicide risks, considering hospitalization for high-risk cases, and prioritizing long-term specialized care.
  • Dialectical Behavior Therapy (DBT) and Mentalisation-Based Therapy (MBT) are discussed as primary treatment modalities.

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Impact:

  • Highlights the importance of long-term, specialized treatment for BPD patients with suicidal behaviors.
  • Provides insights into the effectiveness of DBT and MBT in managing suicidal crises within BPD.
  • Informs clinical practice regarding risk assessment and treatment planning for individuals with BPD.