Effects of Psychiatric Admissions on Self-harm and Suicide in People With Borderline Personality Disorder

Lund University

Status: Enrolling

Conditions: Borderline Personality Disorder; Non-suicidal Self-injury; Self-harm; Suicide

Treatments: Other: High degree of long (>5 days) and/or compulsory psychiatric inpatient care

Study type: Observational

Funder types: Other

Identifiers

NCT06424509

2024-00589-01

Details and patient eligibility

About

The current study aims to evaluate the impact of long (>5 days) and/or compulsory psychiatric inpatient care on subsequent healthcare utilization for self-harm and suicide in people with borderline personality disorder, a condition characterized by frequent self-harm.

The basis for this study is the diversity of clinical practices across Swedish regions. By categorizing clinics based on their practices with respect to long and/or compulsory psychiatric inpatient care, it is possible to explore the impact of these practices on subsequent somatic and psychiatric healthcare, including emergency care due to self-harm as well as on completed suicides.

All psychiatric clinics across Sweden authorized to administer compulsory care for adults, totalling 78 clinics will be included. Each clinic per specific calendar year will represent one participant, identified by the clinic's name and the respective year (e.g., Umeå2010, Linköping2013, Malmö2022).

Data collection will involve the utilization of the national registers to capture outcome measures and account for confounding factors. The participants will be ranked based on a composite variable, which includes the average number of days spent in inpatient compulsory care and other psychiatric inpatient care exceeding 5 days, among individuals diagnosed with BPD. The top quartile of participants will be compared with the bottom quartile.

Enrollment: 390 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Psychiatric clinic in Sweden authorized to administer compulsory care for adults. Each clinic per specific calendar year will represent one participant, identified by the clinic's name and the respective year (e.g., Umeå2010, Linköping2013, Malmö2022).

Exclusion criteria

• No authorization to administer compulsory care for adults

Trial design

390 participants in 2 patient groups

High admission

Description:

The quartile of participants using the highest degree of long (\>5 days) and/or compulsory psychiatric inpatient care.

Treatment:

Other: High degree of long (>5 days) and/or compulsory psychiatric inpatient care

Low admission

Description:

The quartile of participants using the lowest degree of long (\>5 days) and/or compulsory psychiatric inpatient care.