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Dilemmas in the management of suicidal behavior in individuals with borderline personality disorder.
- Source :
-
American journal of psychotherapy [Am J Psychother] 1990 Apr; Vol. 44 (2), pp. 160-71. - Publication Year :
- 1990
-
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 "acute" from "chronic" suicidal states. For "acute" suicidal situations, traditional management approaches are appropriate. However, for "chronic" 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 "acute" context and are insensitive to the "chronic" 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.
Details
- Language :
- English
- ISSN :
- 0002-9564
- Volume :
- 44
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- American journal of psychotherapy
- Publication Type :
- Academic Journal
- Accession number :
- 2195899
- Full Text :
- https://doi.org/10.1176/appi.psychotherapy.1990.44.2.160