ArticleEmergency medicine Australasia : EMA2022
Emergency department utilisation by patients with a diagnosis of borderline personality disorder: An acute response to a chronic disorder.
Article in Emergency medicine Australasia : EMA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Article
- Uncertainty of Fit - Serving People with Borderline Personality Disorder on an Assertive Community Treatment Team Setting: Experiences and Perspectives of Clinicians from a Flexible ACT Team.Community mental health journal · 2026Article
- Holding the treatment frame: borderline features, personality functioning, and psychotherapy dropout in a youth mental health service.Research in psychotherapy (Milano) · 2026Article
- Understanding individual and structural factors behind extensive care needs in personality disorders: an interpretative phenomenological analysis.Annals of general psychiatry · 2026Article
- Psychiatric Emergency Visits of Autistic Adults With or Without Documented Borderline Personality Disorder.Autism research : official journal of the International Society for Autism Research · 2026Article
- Treatment of patients with borderline personality disorder in the emergency room? A scoping review.Frontiers in psychiatry · 2026Review
- Lived Experience and Clinician Perspectives on the Priorities and Challenges of Integrating Peer Support in Acute Psychiatric Services for People With BPD.International journal of mental health nursing · 2025Article
- Working with clients engaging in recurrent suicidal behavior: impacts on community mental health practitioners.Frontiers in public health · 2025Article
- Unveiling the patterns: exploring social and clinical characteristics of frequent mental health visits to the emergency department-a comprehensive systematic review.Discover mental health · 2024Review
- Profiles of Emergency Department Users with Psychiatric Disorders Related to Barriers to Outpatient Care.International journal of environmental research and public health · 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
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatients with borderline personality disorder (BPD) are likely to attend the ED while experiencing crises and associated self-injury and suicidality. Our study describes the prevalence, features, and outcomes associated with ED presentations by patients diagnosed with BPD in Outer Eastern Melbourne, Australia.
methodsA retrospective electronic audit of 157 364 ED attendances identified 700 unique BPD-related ED presentations between May 2015 and April 2016. For the purpose of comparison, 583 (81% female) of these 700 cases were matched with 'depression only' cases. ED re-presentation data were also extracted.
resultsThe 583 matched BPD patients attended ED a total of 2807 times during the audit year compared with 1092 attendances for matched depression-only patients. BPD patients were more likely to: arrive by ambulance (50%); have comorbid substance abuse (44%); have a psychotic (15%) or bipolar disorder (17%); be under the care of a psychiatrist (31%); be case-managed (42%); and be admitted to an inpatient unit (21%). ED doctors saw 38% of BPD or depression patients within the recommended time according to their triage category. The majority (73%) of BPD patients attended ED more than once during the audit year (average 4.81 ± 6.63 times; range 2-78).
conclusionRepeated ED attendance of a subset of patients diagnosed with BPD highlights both the severity of their presentation and the inadequacy of community mental health services for meeting their complex needs. Development of effective ED referral pathways with follow-up to engage patients in BPD-appropriate treatment will reduce the likelihood of crises and reliance on hospital EDs for acute episodic care.
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