Effects of Psychiatric Admissions on Self-harm and Suicide in People With Borderline Personality Disorder

NCT ID: NCT06424509

Last Updated: 2025-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

390 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-01-01

Study Completion Date

2027-01-01

Brief Summary

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The current study aims to evaluate the impact of long (\>5 days) and/or compulsory psychiatric inpatient care on subsequent healthcare utilization for self-harm and suicide in people with borderline personality disorder, a condition characterized by frequent self-harm.

The basis for this study is the diversity of clinical practices across Swedish regions. By categorizing clinics based on their practices with respect to long and/or compulsory psychiatric inpatient care, it is possible to explore the impact of these practices on subsequent somatic and psychiatric healthcare, including emergency care due to self-harm as well as on completed suicides.

All psychiatric clinics across Sweden authorized to administer compulsory care for adults, totalling 78 clinics will be included. 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).

Data collection will involve the utilization of the national registers to capture outcome measures and account for confounding factors. The participants will be ranked based on a composite variable, which includes the average number of days spent in inpatient compulsory care and other psychiatric inpatient care exceeding 5 days, among individuals diagnosed with BPD. The top quartile of participants will be compared with the bottom quartile.

Detailed Description

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Conditions

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Borderline Personality Disorder Self-harm Non-suicidal Self-injury Suicide

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

OTHER

Study Groups

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High admission

The quartile of participants using the highest degree of long (\>5 days) and/or compulsory psychiatric inpatient care.

High degree of long (>5 days) and/or compulsory psychiatric inpatient care

Intervention Type OTHER

High degree of long (\>5 days) and/or compulsory psychiatric inpatient care

Low admission

The quartile of participants using the lowest degree of long (\>5 days) and/or compulsory psychiatric inpatient care.

No interventions assigned to this group

Interventions

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High degree of long (>5 days) and/or compulsory psychiatric inpatient care

High degree of long (\>5 days) and/or compulsory psychiatric inpatient care

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Linkoeping University

OTHER_GOV

Sponsor Role collaborator

Lund University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sofie Westling, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Lund University

Locations

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Lund University

Lund, , Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Sofie Westling, MD, PhD

Role: CONTACT

+46735626099

Josefin Vikström Eckevall, MD, PhD

Role: CONTACT

+46703320527

Facility Contacts

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Sofie Westling, PhD

Role: primary

+46735626099

Josefin Vikström Eckevall, PhD

Role: backup

+46703320527

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2024-00589-01

Identifier Type: -

Identifier Source: org_study_id

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