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Chapter 12 - Self-Harm and Personality Disorders in PICU

Published online by Cambridge University Press:  15 March 2024

By
Reena Panchal  and
James Baker
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

Patients with borderline personality disorder often pose challenges in various inpatient settings. It is becoming more common for the patients that exhibit severe disturbed or high-risk behaviour within the context of this diagnosis to be transferred to psychiatric intensive care units (PICUs). The role of the PICU is widely regarded as one which can provide focused, short-term interventions for high-risk patients with mental illness; therefore, the very nature of borderline personality disorder contradicts such admission criteria. This chapter provides an overview of the common presentation and complexities of this patient demographic in a PICU and provides suggestions for management strategies. The chapter also advocates an emphasis on professionals being mindful of the patient pathway from PICU to discharge, with the aim to avoid a counterproductive admission which results in containment and overly restrictive practices.

Keywords

psychiatric intensive care unit (PICU)borderline personality disorderself-harmchallenging behaviourrestrictive practice
Type
Chapter
Information
Psychiatric Intensive Care , pp. 149 - 158
Publisher: Cambridge University Press
Print publication year: 2024

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