How psychiatric hospital admissions affect self-harm and suicide in people with borderline personality disorder
Effects of Psychiatric Admissions on Self-harm and Suicide in People With Borderline Personality Disorder
This project will see if longer (over 5 days) or compulsory psychiatric hospital admissions change later self-harm and suicide risk for people with borderline personality disorder.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 390 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Lund University Academic / other |
| Locations | 1 site (Lund) |
| Trial ID | NCT06424509 on ClinicalTrials.gov |
What this trial studies
This observational study uses national registry data to compare psychiatric clinics across Sweden by how often they use long (>5 days) or compulsory inpatient admissions. Each clinic-year (78 clinics across multiple years) is treated as a unit and linked to patient-level healthcare records to measure subsequent emergency care for self-harm, other psychiatric and somatic healthcare use, and completed suicides. Clinics will be categorized by their admission practices and analyses will compare outcomes across categories while adjusting for clinic- and population-level factors. The goal is to determine whether differing admission practices are associated with higher or lower rates of later self-harm and suicide.
Who should consider this trial
Good fit: The focus is on adults with borderline personality disorder who receive inpatient psychiatric care, particularly those experiencing admissions longer than five days or compulsory (involuntary) admissions at Swedish clinics.
Not a fit: People without borderline personality disorder, those who have never had psychiatric inpatient care, or individuals treated outside Sweden are unlikely to directly benefit from this study's findings.
Why it matters
Potential benefit: If the results show clear patterns, they could guide clinicians and policymakers on whether long or compulsory admissions help or harm patients with borderline personality disorder and lead to better care decisions.
How similar studies have performed: Previous research on hospitalization for borderline personality disorder has produced mixed results, and large registry-based comparisons of clinic admission practices are relatively novel.
Eligibility criteria
Show full inclusion / exclusion 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
Where this trial is running
Lund
- Lund University — Lund, Sweden (Recruiting)
Study contacts
- Principal investigator: Sofie Westling, MD, PhD — Lund University
- Study coordinator: Sofie Westling, MD, PhD
- Email: sofie.westling@med.lu.se
- Phone: +46735626099
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.