住院治疗对边缘型人格障碍的自杀患者有用吗？

Is hospitalization useful for suicidal patients with borderline personality disorder?

作者信息

Paris Joel

机构信息

The Department of Psychiatry at McGill University and the SMBD-Jewish General Hospital, Montreal, Canada.

出版信息

J Pers Disord. 2004 Jun;18(3):240-7. doi: 10.1521/pedi.18.3.240.35443.

DOI:10.1521/pedi.18.3.240.35443

PMID:15237044

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.

摘要

本文探讨了对患有边缘型人格障碍（BPD）的慢性自杀倾向患者进行住院治疗的价值。这些患者中有十分之一最终会自杀身亡。然而，这一结果并非易于预测。住院治疗在预防自杀方面的价值尚无定论，且往往会产生负面影响。日间治疗是一种基于证据的替代全面住院的方法。慢性自杀倾向最好在门诊环境中进行管理。