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[Treating chronic suicidality involves taking risks].

B W Koekkoek1, A J A Kaasenbrood

  • 1b.koekkoek@altrecht.nl

Tijdschrift Voor Psychiatrie
|May 13, 2008
PubMed
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Chronic suicidality in borderline personality disorder (BPD) requires distinct treatment. This approach involves calculated short-term risks for long-term patient success, necessitating careful risk-benefit assessment.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Borderline personality disorder (BPD) presents unique challenges in managing chronic suicidality.
  • Chronic suicidality in BPD differs significantly from acute suicidal crises.

Observation:

  • A case study and literature review informed the proposed treatment strategy.
  • The strategy emphasizes the necessity of short-term risk-taking for sustained therapeutic gains.

Findings:

  • Effective management of chronic suicidality in BPD necessitates a paradigm shift from solely risk-averse approaches.
  • The core finding supports a strategic integration of calculated risks within treatment protocols.

Implications:

  • This approach may offer a pathway to improved long-term outcomes for individuals with BPD and chronic suicidality.

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  • Clinicians must conduct thorough risk-benefit analyses and implement safety precautions when employing this strategy.