Crisis intervention at the general hospital: An appropriate treatment choice for acutely suicidal borderline patients
Crisis intervention at the general hospital: An appropriate treatment choice for acutely suicidal borderline patients
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DOI：
10.1016/j.psychres.2010.06.018
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发表时间：
2011-04-30
影响因子：
11.3
通讯作者：
Andreoli, Antonio
中科院分区：
文献类型：
--
作者：
Berrino, Annamaria;Ohlendorf, Pilar;Andreoli, Antonio
本研究调查是否危机干预（CI）在综合医院是一个合适的管理策略，在边缘病人转介到急诊室（ER）故意自残。前瞻性评估了符合DSM-IV边缘型人格障碍标准的两个患者队列（n = 200）的重复故意自我伤害和服务消费。在ER出院时，100例受试者接受CI，而100例对照受试者（在实施CI前招募）被分配接受常规治疗（TAU）。在3个月的随访中，在全球研究样本中发现了高比例的重复故意自我伤害和住院治疗，但CI组的比例较低：8%的重复故意自我伤害和8%的精神病住院治疗，而TAU组为17%和56%。精神病住院治疗的全球支出分别为728，840瑞士法郎（CHF）和914，340 TAU。这项研究表明，与平均住院/复发率，CI可能是一个合适的管理策略，急性自杀边缘患者。(C)2010爱思唯尔爱尔兰有限公司版权所有。
This study investigated whether crisis intervention (Cl) at the General Hospital is a suitable management strategy among borderline patients referred to the emergency room (ER) for deliberate self-harm. Two patient cohorts (n = 200) meeting DSM-IV Borderline Personality Disorder criteria, were prospectively assessed for repeated deliberate self-harm and service consumption. At ER discharge, 100 subjects received Cl, while 100 comparison subjects (recruited before the implementation of Cl) were assigned to treatment as usual (TAU). At 3-month follow-up, a high proportion of repeated deliberate self-harm and hospitalization in the global study sample was found. However rates were lower in the Cl group: 8% repeated deliberate self-harm and 8% psychiatric hospitalization, versus 17% and 56% in the TAU group. The global expenditure for psychiatric hospitalization was 728,840 Swiss Francs (CHF) for Cl and 914,340 for TAU. This study indicates that associated with mean hospitalization/relapse rates, Cl may be a suitable management strategy for acutely suicidal borderline patients. (C) 2010 Elsevier Ireland Ltd. All rights reserved.