Pilot Randomized Controlled Trial of a Brief Psychological Intervention for Suicidal Patients with Borderline Personality Disorder in the Emergency Department
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 60
- Locations
- 2
- Primary Endpoint
- Primary clinical outcome measure - Emergency Department Visits
Study Overview
Brief Summary
When in crisis, people with borderline personality disorder (BPD) frequently seek care in emergency departments (EDs) often presenting with suicide and self-harm behaviour. There is no established evidence-based brief intervention for patients with BPD in ED settings, however a 4-session psychotherapeutic intervention for people with personality disorders in ED settings was tested in Australia and showed promising results in reduced health care utilization. The proposed pilot randomized controlled trial will assess the feasibility of delivering this 4-session intervention in the ED for people with BPD who present with suicidal ideation or self-harm with the aim of reducing health care utilization.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 16 Years to — (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •aged 16 or older
- •presenting to ED with self-harm and/or suicidal ideation; and
- •meeting criteria for BPD on the Structured Clinical Interview for DSM-5 Personality Disorders
Exclusion Criteria
- •unable to give informed consent;
- •meeting DSM-5 criteria for severe substance use disorder, schizophrenia spectrum disorder or bipolar disorder I mania based on the Structured Clinical Interview for DSM-5 (28); and/or
- •IQ < 70 based on the Wechsler Test of Adult Reading
Outcomes
Primary Outcomes
Primary clinical outcome measure - Emergency Department Visits
Time Frame: 1, 3 and 6 month follow up
The primary clinical outcome will be the mean group difference in frequency of ER visits on the Client Service Receipt Inventory (CSRI)
Secondary Outcomes
No secondary outcomes reported
Investigators
Anne Sonley
Psychiatrist and Clinician Scientist
Centre for Addiction and Mental Health