A proposed clinical pathway for the patients with Borderline Personality Disorder presenting to Emergency Departments

Webb, BeatriceLooi, JeffreyAllison, StephenNance, MichaelDhillon, RohanBastiampillai, Tarun2024-12-162024-12-161039-8562https://hdl.handle.net/1885/733731441Objective: Emergency Department (ED) care of repeated self-injury, intensive affective lability, and interpersonal dysfunction associated with borderline personality disorder (BPD) is challenging. We propose an evidence-based acute clinical pathway for people with BPD. Conclusion: Our standardised evidence-based short-term acute hospital treatment pathway includes structured ED assessment, structured short-term hospital admission when clinically indicated, and immediate short-term (4-sessions) clinical follow-up. This approach could be adopted nationally to reduce iatrogenic harm, acute service overdependence and negative healthcare system impacts of BPD.application/pdfen-AU© The Royal Australian and New Zealand College of Psychiatrists 2023https://creativecommons.org/licenses/by/4.0/A proposed clinical pathway for the patients with Borderline Personality Disorder presenting to Emergency Departments202310.1177/103985622311679762024-01-21Creative Commons Attribution 4.0 International License