Is Hospitalization Useful for Suicidal Patients with Borderline Personality Disorder?
Abstract
This article examines the value of hospitalization for chronically suicidal patients with borderline personality disorder (BPD). One in 10 of these patients will eventually complete suicide. However, this outcome is not readily predictable. Hospitalization is of unproven value for suicide prevention and can often produce negative effects. Day treatment is an evidence-based alternative to full admission. Chronic suicidality can best be managed in an outpatient setting.
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From DBT's perspective, hospitalizations and use of crisis services may reinforce self-harm and suicidal behaviors iatrogenically.
“From DBT’s perspective, hospitalizations and use of crisis services may reinforce self-harm and suicidal behaviors iatrogenically [10, 11], though there has not been systematic research tracking longitudinal outcomes following hospitalizations among BPD patients in Malaysia.”
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References 42 · Cited by 193
- Authors
- Paris, J.
- Affiliations
- Jewish General Hospital (CA)
- Corresponding author
- Paris, Joel
- ORCID
- Paris, Joel
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2004-06
- Volume
- 18
- Issue
- 3
- Pages
- 240-247
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2097859372
- Cited by
- 193
- References
- 42
- Citations by year
- 2026: 5 · 2025: 23 · 2024: 9 · 2023: 15 · 2022: 9 · 2021: 14 · 2020: 9 · 2019: 12 · 2018: 13 · 2017: 7 · 2016: 14 · 2015: 6 · 2014: 3 · 2013: 9 · 2012: 2
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- borderline personality disorder, chronic suicidality, hospitalization, suicide prevention, day treatment, outpatient care, treatment outcomes, suicide risk
- MeSH terms
- Suicide Prevention, Ambulatory Care, Borderline Personality Disorder, Chronic Disease, Depressive Disorder, Hospitalization, Humans, Patient Admission, Risk Factors, Suicide, United States, Evidence-Based Medicine, Mood Disorders
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