Effects of Psychiatric Admissions on Self-harm and Suicide in People With Borderline Personality Disorder
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorLund University
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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).
Disqualifiers
No authorization to administer compulsory care for adults
Trial population
All psychiatric clinics across Sweden authorized to administer compulsory care for adults, totalling 78 clinics. 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).
Trial design
Design model
Case-control
Time perspective
Other
Treatments tested in this trial
High degree of long (>5 days) and/or compulsory psychiatric inpatient care
Other interventionHigh degree of long (\>5 days) and/or compulsory psychiatric inpatient care
Treatment groups
390 Participants
are divided into 2 treatment groupsGroup A: High admission1 intervention
Group B: Low admission0 interventions
Trial outcomes
Primary outcomes
1
Number of healthcare visits due to self-harm
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.
Time frame
1 year2
Number of deaths by suicide
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.
Time frame
1 year3
Number of deaths by suicide within 30 days after discharge
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
Time frame
1 yearSecondary outcomes
1
Number of days between admissions to psychiatric inpatient care
Number of days between admissions to psychiatric inpatient care for people diagnosed with BPD divided by the number of individuals diagnosed with BPD per clinic and calendar year.
Time frame
1 year2
Number of days between death by suicide and discharge
Number of days between death by suicide (X60-X84; Intentional self-harm or Y10-34; Events of undetermined intent) and discharge in individuals diagnosed with BPD. For this variable, death by suicide during inpatient admission will be labelled 0.
Time frame
1 year3
Number of days in somatic (non-psychiatric) inpatient care after self-harm
Number of days in somatic (non-psychiatric) inpatient care after self-harm (X60-X84; Intentional self-harm) divided by the number of individuals diagnosed with BPD per clinic and calendar year.
Time frame
1 yearSponsors and contacts
Click on the lead sponsor to view all of their trials.
Lund University
Lead sponsor
Linkoeping University
Collaborator
Source ClinicalTrials.gov