@article{ref1,
title="Evaluation of a novel risk assessment method for self-harm associated with Borderline Personality Disorder",
journal="Australasian psychiatry",
year="2017",
author="Rao, Sathya and Broadbear, Jillian H. and Thompson, Katherine and Correia, Anna and Preston, Martin and Katz, Paul and Trett, Robert",
volume="25",
number="5",
pages="460-465",
abstract="OBJECTIVES: Borderline personality disorder (BPD) is associated with frequent self-harm and suicidal behaviours. This study compared physician-assessed self-harm risk and intervention choice according to a (i) standard risk assessment and (ii) BPD-specific risk assessment methods. <br><br>METHODS: Forty-five junior and senior mental health physicians were assigned to standard or BPD-specific risk training groups. The assessment utilized a BPD case vignette containing four scenarios describing high/low lethality self-harm and chronic/new patterns of self-harm behaviour. Participants chose from among four interventions, each corresponding to a risk category. <br><br>RESULTS: Standard and BPD-specific groups were alike in their assessment of self-harm risk. Divergence occurred on intervention choice for assessments of low lethality, chronic risk ( p<.01) and high lethality, chronic risk ( p<.005). Overall, psychiatrists were more likely than their junior colleagues to correctly assess risk and management options. <br><br>CONCLUSIONS: Although standard and BPD-specific methods are well aligned for assessing self harm-associated risk, BPD-specific training raised awareness of BPD-appropriate interventions, particularly in the context of chronic patterns of self-harm behaviour. Wider dissemination of BPD-specific risk training may enhance the confidence of mental health clinicians in identifying the nature of self-harm risk as well as the most clinically appropriate interventions for clients with BPD.<p /> <p>Language: en</p>",
language="en",
issn="1039-8562",
doi="10.1177/1039856217707390",
url="http://dx.doi.org/10.1177/1039856217707390"
}