[Management of suicidal crisis: mentalizing as a team]
Christian Greiner1, Alexis Guillot2, Virginie Jordan3
1Service de psychiatrie de liaison et d'intervention de crise, Département de psychiatrie, Hôpitaux universitaires de Genève, 1211 Genève 14.
Revue Medicale Suisse
|February 15, 2023
Summary
Managing suicidal crises in patients with personality disorders requires adapted care models. Multidisciplinary teams must enhance mentalization to navigate complex emotional states and improve patient outcomes.
Area of Science:
- Psychiatry
- Psychology
Context:
- Hospital management of suicidal crises in patients with personality disorders presents unique challenges for caregivers.
- High emotional intensity in crisis situations can impede caregivers' ability to mentalize, i.e., understand mental states with curiosity.
Purpose:
- To explore the specifics of interdisciplinary crisis work.
- To examine these challenges through the lens of mentalization-based therapy.
Summary:
- Caregivers face difficulties maintaining curiosity and non-experiential understanding when treating patients in suicidal crisis with personality disorders.
- Mentalizing abilities are differentially challenged based on caregiver roles, complicating treatment.
- An expressed desire to die can represent a more complex underlying mental state.
Impact:
- Highlights the need for adapted care models and multidisciplinary team approaches.
- Emphasizes the importance of mentalization-based therapy in managing complex psychiatric crises.
- Aims to improve caregiver capacity to treat patients experiencing suicidal ideation and personality disorders.
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