Prescribing practices for patients with borderline personality disorder during psychiatric hospitalizations

Magdalena Romanowicz, Kate D Schak, Jennifer L. Vande Voort, Jonathan G. Leung, Beth R. Larrabee, Brian A. Palmer

Research output: Contribution to journalArticlepeer-review

Abstract

This study aimed to understand prescribing practices during acute psychiatric hospitalization in a large cohort of patients (N = 569) with borderline personality disorder (BPD) at a tertiary care psychiatry unit from January 1, 2013, through January 1, 2015. The mean number of hospitalizations per patient was 1.5 (range, 1–7). The odds of being prescribed antidepressants, antipsychotics, mood stabilizers, hypnotics, or anxiolytics were higher at discharge than at admission. The rate of psychotropic prescriptions was also higher at discharge than at admission (incidence rate ratio, 1.9). This pattern was true for the combined psychotropic and nonpsychotropic (“medical”) prescriptions. Further guidelines are needed regarding optimal psychosocial, medical, and psychopharmacological care of patients with BPD during acute psychiatric hospitalizations.

Original languageEnglish (US)
Pages (from-to)736-749
Number of pages14
JournalJournal of Personality Disorders
Volume34
Issue number6
DOIs
StatePublished - 2020

Keywords

  • Acute care
  • Evidence-based treatment
  • Polypharmacy
  • Psychopharmacology

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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