Effects of Psychiatric Admissions on Self-harm and Suicide in People With Borderline Personality Disorder
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 390
- 试验地点
- 2
- 主要终点
- Number of deaths by suicide within 30 days after discharge
研究概览
简要总结
The current study aims to evaluate the impact of long (>5 days) and/or compulsory psychiatric inpatient care on subsequent healthcare utilization for self-harm and suicide in people with borderline personality disorder, a condition characterized by frequent self-harm.
The basis for this study is the diversity of clinical practices across Swedish regions. By categorizing clinics based on their practices with respect to long and/or compulsory psychiatric inpatient care, it is possible to explore the impact of these practices on subsequent somatic and psychiatric healthcare, including emergency care due to self-harm as well as on completed suicides.
All psychiatric clinics across Sweden authorized to administer compulsory care for adults, totalling 78 clinics will be included. Each clinic per specific calendar year will represent one participant, identified by the clinic's name and the respective year (e.g., Umeå2010, Linköping2013, Malmö2022).
Data collection will involve the utilization of the national registers to capture outcome measures and account for confounding factors. The participants will be ranked based on a composite variable, which includes the average number of days spent in inpatient compulsory care and other psychiatric inpatient care exceeding 5 days, among individuals diagnosed with BPD. The top quartile of participants will be compared with the bottom quartile.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Other
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Psychiatric clinic in Sweden authorized to administer compulsory care for adults. Each clinic per specific calendar year will represent one participant, identified by the clinic's name and the respective year (e.g., Umeå2010, Linköping2013, Malmö2022).
排除标准
- •No authorization to administer compulsory care for adults
研究组 & 干预措施
Low admission
The quartile of participants using the lowest degree of long (>5 days) and/or compulsory psychiatric inpatient care.
High admission
The quartile of participants using the highest degree of long (>5 days) and/or compulsory psychiatric inpatient care.
干预措施: High degree of long (>5 days) and/or compulsory psychiatric inpatient care (Other)
结局指标
主要结局
Number of deaths by suicide within 30 days after discharge
时间窗: 1 year
Number of deaths by suicide (X60-X84; Intentional self-harm or Y10-34; Events of undetermined intent) within 30 days after discharge, in individuals diagnosed with BPD divided by the number of individuals diagnosed with BPD, per clinic and calendar year
Number of healthcare visits due to self-harm
时间窗: 1 year
Number of healthcare visits due to self-harm in specialized inpatient or outpatient care, as defined in the NPR (X60-X84; Intentional self-harm) divided by the number of individuals diagnosed with BPD per clinic and calendar year.
Number of deaths by suicide
时间窗: 1 year
Number of deaths by suicide (X60-X84; Intentional self-harm or Y10-34; Events of undetermined intent) in individuals diagnosed with BPD divided by the number of individuals diagnosed with BPD per clinic and calendar year.
次要结局
- Number of days in somatic (non-psychiatric) inpatient care after self-harm(1 year)
- Number of days between admissions to psychiatric inpatient care(1 year)
- Number of days between death by suicide and discharge(1 year)