Document ID: chunk:federal_register_of_legislation:F2018C00649:reg:7:p1
Version: federal_register_of_legislation:F2018C00649
Segment Type: reg
Provision Reference: reg 7 (pt 1/2)
Character Range: 3736–7444

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about personality disorder and death from personality disorder.
Meaning of personality disorder
(2)          For the purposes of this Statement of Principles, personality disorder means a disorder of mental health that meets the following diagnostic criteria (derived from DSM-5):

             1. An enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual's culture. This pattern is manifested in two (or more) of the following areas:

                (i)            cognition (that is, ways of perceiving and interpreting self, other people and events);

                (ii)         affectivity (that is, the range, intensity, lability and appropriateness of emotional response);

                (iii)       interpersonal functioning; or

                (iv)        impulse control.

            B.            The enduring pattern is inflexible and pervasive across a broad range of personal and social situations.
            C.            The enduring pattern leads to clinically significant distress or impairment in social, occupational or other important areas of functioning.
            D.           The pattern is stable and of long duration, and its onset can be traced back at least to adolescence or early adulthood.
            E.            The enduring pattern is not better explained as a manifestation or consequence of another mental disorder.
            F.             The enduring pattern is not attributable to the physiological effects of a substance (for example, a drug of abuse, a medication) or another medical condition (for example, head trauma).

            Note 1: The definition of personality disorder includes paranoid personality disorder, schizoid personality disorder, schizotypal personality disorder, antisocial personality disorder, borderline personality disorder, histrionic personality disorder, narcissistic personality disorder, avoidant personality disorder, dependent personality disorder, obsessive-compulsive personality disorder, other specified personality disorder and unspecified personality disorder.
            Note 2: The definition of personality disorder excludes personality change due to another medical condition.
            Note 3: DSM-5 and personality change due to another medical condition are defined in the Schedule 1 - Dictionary.
(3)          While personality disorder attracts ICD‑10‑AM code:
(a)          F60.0 (paranoid personality disorder);
(b)          F60.1 (schizoid personality disorder);
(c)          F21 (schizotypal personality disorder);
(d)          F60.2 (antisocial personality disorder);
(e)          F60.31 (borderline personality disorder);
(f)           F60.4 (histrionic personality disorder);
(g)          F60.8 (narcissistic personality disorder);
(h)          F60.6 (avoidant personality disorder);
(i)            F60.7 (dependent personality disorder);
(j)            F60.5 (obsessive-compulsive personality disorder); or
(k)          F60.9 (other specified personality disorder and unspecified personality disorder);
in applying this Statement of Principles the meaning of personality disorder is that given in subsection (2).
(4)          For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing