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The management of self-inflicted burn injuries and disruptive behavior for patients with borderline personality disorder.
- Source :
-
The Journal of burn care & rehabilitation [J Burn Care Rehabil] 2000 Jul-Aug; Vol. 21 (4), pp. 310-7. - Publication Year :
- 2000
-
Abstract
- One of the greatest behavioral and ethical challenges faced by a burn team is the treatment of a patient whose burn injury is the result of parasuicidal behavior. Parasuicidal behavior is defined as intentional self-injurious behavior that, although not fatal, may result in tissue damage or risk of death. There are a number of reasons, usually psychiatric, that patients engage in parasuicidal behavior; however, our contention is that the majority of these patients have a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis II diagnosis of borderline personality disorder. We describe the nature of borderline personality disorder and how it leads to disruptive behavior, including self-harm behavior, on the burn unit, We also argue that if staff members fail to recognize the borderline personality disorder diagnosis, it will lead to responses from staff that can heighten disruptive behavior. We present a series of recommendations for treating such patients with burns and an illustrative case report.
- Subjects :
- Adult
Aftercare
Borderline Personality Disorder diagnosis
Borderline Personality Disorder therapy
Burn Units
Burns, Chemical etiology
Female
Humans
Mental Disorders etiology
Patient Care Planning
Self-Injurious Behavior psychology
Borderline Personality Disorder psychology
Burns, Chemical therapy
Mental Disorders therapy
Self-Injurious Behavior therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0273-8481
- Volume :
- 21
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Journal of burn care & rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 10935812
- Full Text :
- https://doi.org/10.1067/mbc.2000.108147