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Managing Suicide Risk in Borderline Personality Disorder | Psychiatric Times

Managing Suicide Risk in Borderline Personality Disorder | Psychiatric Times

  May 01, 2012 | By Robert J. Gregory, MD Patients with borderline personality disorder (BPD) are often high users of health care and may present with multiple crises and minor incidents of self-harm or threats.1 As with the boy who cried wolf, inpatient consultants and health care providers may end up feeling manipulated and may not take suicide risk very seriously. CASE VIGNETTE Ms A, a 22-year-old, was brought to the emergency department (ED) by ambulance; she had overdosed…

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Assessing Suicidal Youth With Antisocial, Borderline, or Narcissistic Personality Disorder

Assessing Suicidal Youth With Antisocial, Borderline, or Narcissistic Personality Disorder

  In Review Paul S Links, MD1, Brent Gould, MD2, Ruwan Ratnayake3     Objective: This paper has 3 objectives. First, we review the epidemiologic evidence for the association between suicidal behaviour and suicide in individuals diagnosed with anti- social, borderline, or narcissistic personality disorder. Second, we examine whether any potentially modifiable risk factors are associated with these diagnoses, based on existing empirical evidence. Last, we discuss clinical approaches to assessing youth with antisocial, borderline, or narcissistic personality disorder presenting…

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Five Ethical and Clinical Challenges Psychiatrists May Face When Treating Patients with Borderline Personality Disorder Who Are or May Become Suicidal

Five Ethical and Clinical Challenges Psychiatrists May Face When Treating Patients with Borderline Personality Disorder Who Are or May Become Suicidal

Edmund Howe, MD, JD Author information ►Copyright and License information ► Abstract This article discusses five core ethical and clinical questions psychiatrists should consider when they treat patients with borderline personality disorder who are or may be suicidal. These questions include whether psychiatrists should tell patients their diagnosis, what they should tell them about their suicide risk, whether they should be “always” available by phone, when they should hospitalize these patients involuntarily, and how they should respond after these patients…

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