Trial reportBMC psychiatry2019
Evaluation of a brief intervention within a stepped care whole of service model for personality disorder.
Trial report in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Crisis and acute mental health care for people who have been given a diagnosis of a 'personality disorder': a systematic review.BMC psychiatry · 2023Pooled it
- Implementation and outcomes of a brief crisis intervention for adolescents with borderline personality features: a pre-post observational study.BMC psychiatry · 2026Observational
- A pilot randomized controlled study of a brief mentalizing enhancement intervention for borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2025Article
- AIR therapy: a pilot study of a clinician-assisted e-therapy for adolescents with borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2025Article
- Gender differences in treatment effectiveness for borderline personality disorder.Personality and mental health · 2025Article
- Borderline personality disorder Athens study: a quasi-experimental pragmatic trial for the assessment of a public, psychodynamic, stepped care service for borderline personality disorder patients.Frontiers in psychiatry · 2025Article
- The evaluation of a stepped care approach for early intervention of borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2024Article
- Efficacy and recommendations for the delivery of telehealth psychotherapy for people with personality disorder.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2024Article
- A proposed clinical pathway for the patients with Borderline Personality Disorder presenting to Emergency Departments.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2023Article
- Patient perspectives on non-response to psychotherapy for borderline personality disorder: a qualitative study.Borderline personality disorder and emotion dysregulation · 2023Article
- Borderline Personality Disorder: Updates in a Postpandemic World.Focus (American Psychiatric Publishing) · 2022Review
- Current state of the evidence on community treatments for people with complex emotional needs: a scoping review.BMC psychiatry · 2022Article
- Crisis-focused psychosocial interventions for borderline personality disorder: systematic review and narrative synthesis.BJPsych open · 2022Review
- To love and work: A longitudinal study of everyday life factors in recovery from borderline personality disorder.Personality and mental health · 2022Article
- Article
- Factors associated with a borderline personality disorder diagnosis in the emergency department.Frontiers in psychiatry · 2022Article
- A service evaluation of short-term mentalisation based treatment for personality disorder.BJPsych open · 2021Article
- Future directions in personality pathology development research from a trainee perspective: Suggestions for theory, methodology, and practice.Current opinion in psychology · 2021Review
- Searching in the dark: Shining a light on some predictors of non-response to psychotherapy for borderline personality disorder.PloS one · 2021Article
- Evidence of practice gaps in emergency psychiatric care for borderline personality disorder: how can this be explained?BMC psychiatry · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough there is growing evidence that stepped models of care are useful for providing appropriate, person centered care, there are very few studies applied to personality disorders. A brief, four session, psychological treatment intervention for personality disorder within a whole of service stepped care model was evaluated. The intervention stepped between acute emergency crisis mental health services and longer-term outpatient treatments.
methodsStudy 1 used service utilization data from 191 individuals referred to the brief intervention at a single community health site in a metropolitan health service. Proportions of individuals retained across the intervention and the referral pathways accessed following the intervention were examined. Study 2 examined 67 individuals referred to the brief intervention across 4 different sites in metropolitan health services. A range of measures of symptoms and quality of life were administered at the first and last session of the intervention. Effect sizes were calculated to examine mean changes across the course of the intervention.
resultsStudy 1 found that 84.29% of individuals referred to the intervention attended at least 1 session, 60.21% attended 2 sessions or more and 41.89% attended 3 or more sessions. 13.61% of the sample required their care to be "stepped up" within the service, whereas 29.31% were referred to other treatment providers following referral to the intervention. Study 2 found a significant reduction in borderline personality disorder symptom severity and distress following the intervention, and an increase in quality of life. The largest reduction was found for suicidal ideation (d = 1.01).
conclusionsBrief psychological intervention was a useful step between acute services and longer-term treatments in this stepped model of care for personality disorder. Suicide risk and symptom severity reduced and quality of life improved, with only a small proportion of individuals requiring ongoing support from the health service following the intervention.
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