Effectiveness of psychosocial treatments on suicidality in personality disorders.
ABSTRACT Axis II disorders, particularly borderline personality disorder, are highly associated with suicidal behaviours. This paper aims to evaluate treatment of suicidality in borderline personality disorder.
Systematic review of the empirical literature on the clinical effectiveness of psychosocial treatments in reducing suicidal behaviours in patients with personality disorders. A summary of empirical findings is presented, and recommendations for clinical practice are offered.
While there is currently a dearth of well-controlled treatment trials, interest in this field of research is growing, and several recent randomized controlled trials support the effectiveness of certain interventions.
Several different types of psychosocial interventions are associated with reductions in suicidal behaviour.
SourceAvailable from: Jean-Philippe Raynaud
Chapter: Borderline personality disorderIACAPAP e-Textbook of Child and Adolescent mental Health, Edited by Rey JM, 01/2012: chapter Borderline personality disorder: pages Chapter H.4, 18 p; International Association for Child and Adolescent Psychiatry and Allied Professions, Geneva.
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ABSTRACT: The therapeutic potential of reducing the risk of suicidal attempt repetitions has been widely studied in recent years, contributing to promote new techniques to reduce this risk. Yet still the question of indications and practical modalities of these techniques, as the subjects committing a suicide attempt are a heterogeneous population when considering their risk factors, diagnosis, and comorbidities. This work will aim to review randomized controlled trials, which have evaluated treatments for suicide attempt among suicidal patients, in that first part, and the sub-population at higher risk of patients with borderline personality disorder, in a second part. Several trials support the effectiveness of some interventions, ranging from simple (postcards, Green cards) to more structured ones. One of the main limitations seems to be the diversity of the population of suicidal patients. This review highlights the need to improve psychiatric assessment at the Emergency Department, targeting risk factors, and to develop specific care according to risk of repetition.Annales Médico-psychologiques revue psychiatrique 05/2011; 169(4):221-228. DOI:10.1016/j.amp.2009.11.007 · 0.15 Impact Factor
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ABSTRACT: The purpose of Study 1 was to examine the relative efficacy of evidence-based treatments (EBTs) when compared to treatment-as-usual (TAU) for adults diagnosed with a personality disorder (PD). The purpose of Study 2 was to investigate the strength of the differences between bona fide psychotherapeutic treatments for PDs. Two separate computerized searches were conducted of: (a) studies that directly compared an EBT with a TAU for treatment of PDs, or (b) studies that compared at least two bona fide treatments for PDs. Meta-analytic methods were used to estimate the effectiveness of the treatments when compared to one another and to model how various confounding variables impacted the results of this comparative research. A total of 30 studies (Study 1; N=1662) were included in the meta-analysis comparing EBTs to TAU. A total of 12 studies (Study 2; N=723) were included in the meta-analysis comparing bona fide treatments. Study 1 found that EBTs were superior to TAU, although the TAU conditions were not comparable in many respects (e.g., not psychotherapy, lacking supervision, lacking training, etc.) to the EBT and there was significant heterogeneity in the effects. Study 2 found that some bona fide treatments were superior to others.Clinical psychology review 08/2013; 33(8):1057-1066. DOI:10.1016/j.cpr.2013.08.003 · 7.18 Impact Factor