Borderline Personality Disorder: What Predicts Acute Psychiatric Readmissions?

Furnes, Desiré; Gjestad, Rolf; Mehlum, Lars; Hodgekins, Joanne; Kroken, Rune A.; Oedegaard, Ketil J.; Mellesdal, Liv

doi:10.1521/pedi_2019_33_459

Cited by 10 publications

(7 citation statements)

References 42 publications

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“…The authors recommend that receptivity predictors be closely monitored. 20 However, Lewis and colleagues compared patients with personality disorder and patients with other mental 21 In addition to young age, in the results of this study, voluntary hospitalization and celibacy status, having a criminal record, and not having a job also had a positive role in readmission, which was reported as a direct relationship. In a systematic study by Pinho Zanardo et al In a study of factors related to readmission of psychiatric patients, most results showed that youth, celibacy, low social support, and involuntary hospitalization increased the likelihood of recurrent hospitalization, While social interventions reduce the likelihood of readmission.…”

Section: Discussionmentioning

confidence: 68%

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Evaluation of the Prevalence of Psychiatric Readmission and Associated Factors in Shafa Psychiatric Hospital in Rasht During 2017-2019

Najafi¹,

Siahkoucheh

Siahkoucheh³

et al. 2021

Addictive Disorders &Amp; Their Treatment

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Background: Hospital readmission is one of the important priorities of health systems due to its impact on the cost and quality of hospital care and imposing an additional burden on the health system. Complications are much more severe in patients who are readmitted to the hospital, with high mortality, increased length of stay, and a 25% increase in medical costs. Objective: This study aimed to evaluate the prevalence of psychiatric readmission and associated factors in Shafa Psychiatric Hospital in Rasht during the years 2017-2019. Methods: The research method is descriptive-analytical and applied in terms of results. The statistical population of this study consisted of all patients admitted to Shafa Hospital of Rasht during 2017-2019. Sampling method: This study was a convenience sampling with a sample size of 196 people. Data were entered into SPSS 24 software. Descriptive data were expressed as mean, SD, frequency (percentage of frequency). Binomial and χ2 tests were also used to compare the frequency of the 2 groups in a population. Results: The results of this study showed that having a criminal record significantly increases the frequency of readmission, involuntary hospitalization, being single, and not having a readmission risk job. Conclusion: On the basis of the results, it is suggested that the follow-up of patients and providing hospitalization for emotional support and recommendation for appropriate medication can be helpful and reduce the rate of readmission.

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Section: Discussionmentioning

confidence: 68%

“…They identified self-harm behavior as a predictor of the number of readmissions, while depression and hallucinations predicted the time elapsed between the first acceptance and the first readmission. The authors recommend that receptivity predictors be closely monitored 20…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Prevalence of Psychiatric Readmission and Associated Factors in Shafa Psychiatric Hospital in Rasht During 2017-2019

Najafi¹,

Siahkoucheh

Siahkoucheh³

et al. 2021

Addictive Disorders &Amp; Their Treatment

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“…This HoNOS domain has previously been linked to future healthcare costs, including in a small sample of Norwegian patients with borderline personality disorder. 11,12 We have now demonstrated the utility of this HoNOS domain as an indicator of personality disorder severity in a much larger sample. The other HoNOS domains did not show clear associations with secondary health service use.…”

Section: Discussionmentioning

confidence: 88%

Defining severity of personality disorder using electronic health records: short report

Monk-Cunliffe,

Kadra-Scalzo,

Finamore

et al. 2023

BJPsych open

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Summary Severity of personality disorder is an important determinant of future health. However, this key prognostic variable is not captured in routine clinical practice. Using a large clinical data-set, we explored the predictive validity of items from the Health of Nation Outcome Scales (HoNOS) as potential indicators of personality disorder severity. For 6912 patients with a personality disorder diagnosis, we examined associations between HoNOS items relating to core personality disorder symptoms (self-harm, difficulty in interpersonal relationships, performance of occupational and social roles, and agitation and aggression) and future health service use. Compared with those with no self-harm problem, the total healthcare cost was 2.74 times higher (95% CI 1.66–4.52; P < 0.001) for individuals with severe to very severe self-harm problems. Other HoNOS items did not demonstrate clear patterns of association with service costs. Self-harm may be a robust indicator of the severity of personality disorder, but further replication work is required.

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“… 73 Both hallucinations and delusions in BPD patients predict faster readmission to an acute psychiatric ward after discharge. 75 A co-occurring psychotic episode in patients with BPD is a significant predictor of referral to a specialized psychiatric unit for severe mental disorders after treatment in an outpatient facility. 76 Cavelti et al also found an increase in hospitalizations for patients with BPD and hallucinations.…”

Section: Resultsmentioning

confidence: 99%

Hallucinations and Other Psychotic Symptoms in Patients with Borderline Personality Disorder

Minaříková¹,

Praško²,

Holubová³

et al. 2022

NDT

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Background Psychotic symptoms in BPD are not uncommon, and they are diverse and phenomenologically similar to those in schizophrenia spectrum disorders. Despite their prevalence in BPD patients, knowledge about the characteristics and severity of hallucinations is limited, especially in modalities other than auditory. Aim This review summarises the causes, phenomenology, severity, and treatment options of hallucinations and other psychotic symptoms in BPD. Methods The PubMed database was used with the following key terms: “borderline personality disorder” and ‘hallucinations’ and “psychotic symptoms”. Articles were selected between January 1990 and May 2021. The primary keyword search yielded a total of 545 papers, of which 102 articles met the inclusion criteria and were fully screened. Papers from the primary source reference lists were also screened, assessed for eligibility, and then added to the primary documents where appropriate (n = 143). After the relevance assessment, 102 papers were included in the review. We included adult and adolescent studies to gather more recent reviews on this topic. Results Hallucinations are significantly prevalent in BPD, mainly auditory, similar to schizophrenia spectrum disorders. The relationship between hallucinations and depression, anxiety, suicidality, schizotypy, and loneliness in BPD has been discovered but requires more research. Studies for treatment options for hallucinations in BPD are lacking. Conclusion Recognition of psychotic symptoms in patients with BPD as distinguished psychopathological phenomena instead of diminishing and overlooking them is essential in the clinical assessment and can be useful in predicting complications during treatment. More focused research in this area is needed.

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Borderline Personality Disorder: What Predicts Acute Psychiatric Readmissions?

Cited by 10 publications

References 42 publications

Evaluation of the Prevalence of Psychiatric Readmission and Associated Factors in Shafa Psychiatric Hospital in Rasht During 2017-2019

Evaluation of the Prevalence of Psychiatric Readmission and Associated Factors in Shafa Psychiatric Hospital in Rasht During 2017-2019

Defining severity of personality disorder using electronic health records: short report

Hallucinations and Other Psychotic Symptoms in Patients with Borderline Personality Disorder

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