
@article{ref1,
title="Dilemmas in the management of suicidal behavior in individuals with borderline personality disorder",
journal="American journal of psychotherapy",
year="1990",
author="Fine, M. A. and Sansone, Randy A.",
volume="44",
number="2",
pages="160-171",
abstract="Managing suicidal behavior of individuals with borderline personality disorder presents both therapeutic and ethical/legal dilemmas. It is argued in this paper that clinicians treating borderline individuals need to carefully discriminate &quot;acute&quot; from &quot;chronic&quot; suicidal states. For &quot;acute&quot; suicidal situations, traditional management approaches are appropriate. However, for &quot;chronic&quot; situations, common among borderline individuals, traditional management approaches may be therapeutically counterproductive. A number of proposals for managing chronic suicidal behavior are reviewed. Unfortunately, current ethical standards and laws have evolved from considering suicide in an &quot;acute&quot; context and are insensitive to the &quot;chronic&quot; situation. Recommendations are made for clinicians to effectively manage chronic suicidal behaviors within present ethical and legal guidelines, and some suggestions for legal reform are offered.<p /> <p>Language: en</p>",
language="en",
issn="0002-9564",
doi="",
url="http://dx.doi.org/"
}