Department of Psychiatry, University Hospital of Ioannina, Ioannina, Greece.
Int J Psychiatry Clin Pract. 2008;12(1):78-80. doi: 10.1080/13651500701531455.
This study examined the admission rates of patients with borderline personality disorder in a psychiatric unit within a General Hospital. The medical records of patients with DSM-IV borderline personality disorder who were admitted to the unit during the years 2004 and 2005 were retrospectively reviewed. The number of admissions of patients with borderline personality disorder was 78, involving 48 patients. The mean of admissions were 1.63 per patient. The comparison to the rest of the patient population (922 patients with a total of 1086 admissions) demonstrated that patients with borderline personality disorder were admitted more frequently than patients with major psychiatric disorders. The difference was statistically significant (P=0.042). The main reasons for admission were suicide attempts or threats and lack of out-patient facilities. The introduction of out-patient psychiatric facilities may contribute to the reduction of the admissions and to the better management of the disorder.
本研究调查了一家综合医院精神科病房中边缘型人格障碍患者的入院率。对 2004 年和 2005 年期间入住该病房的符合 DSM-IV 边缘型人格障碍的患者的医疗记录进行了回顾性分析。共收治了 78 例边缘型人格障碍患者,涉及 48 例患者。每位患者的平均入院次数为 1.63 次。与其余患者群体(922 例患者共 1086 次入院)相比,边缘型人格障碍患者的入院率高于患有主要精神障碍的患者。差异具有统计学意义(P=0.042)。入院的主要原因是自杀企图或威胁和缺乏门诊设施。引入门诊精神科设施可能有助于减少入院率并更好地管理该疾病。