Clinical trial NCT06424509: Effects of Psychiatric Admissions on Self-harm and Suicide in People With Borderline Personality Disorder
Official title: Effects of Psychiatric Admissions on Self-harm and Suicide in People With Borderline Personality Disorder
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Borderline Personality Disorder
Self-harm
Non-suicidal Self-injury
Suicide
Lead sponsor: Lund University
Sponsor class: OTHER
Collaborators: name: Linkoeping University
First posted: 2024-05-22
Enrollment: 390
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: OTHER
Sampling method: PROBABILITY_SAMPLE
Study 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).

Brief summary: 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: Inclusion Criteria:

* 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).

Exclusion Criteria:

* No authorization to administer compulsory care for adults

Primary outcomes:
measure: Number of healthcare visits due to self-harm
timeFrame: 1 year
measure: Number of deaths by suicide
timeFrame: 1 year
measure: Number of deaths by suicide within 30 days after discharge
timeFrame: 1 year
Secondary outcomes:
measure: Number of days between admissions to psychiatric inpatient care
timeFrame: 1 year
measure: Number of days between death by suicide and discharge
timeFrame: 1 year
measure: Number of days in somatic (non-psychiatric) inpatient care after self-harm
timeFrame: 1 year
Other outcomes:
Locations:
Study officials:
affiliation: Lund University
name: Sofie Westling, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: