Particular vulnerability of patients with borderline personality disorder during the COVID-19 pandemic – a retrospective chart review
2024

Vulnerability of Borderline Personality Disorder Patients During COVID-19

Sample size: 4110 publication 10 minutes Evidence: high

Author Information

Author(s): Kippe Yann, Gutwinski Stefan, Adam Maia, Finck Anna, Schouler-Ocak Meryam, Goldschmidt Thomas

Primary Institution: Psychiatrische Universitätsklinik der Charité im St. Hedwig Krankenhaus

Hypothesis

Are patients with borderline personality disorder more vulnerable during the COVID-19 pandemic?

Conclusion

Patients with borderline personality disorder showed increased rates of suicide attempts during the COVID-19 pandemic.

Supporting Evidence

  • BPD patients had a 3.4-times increased risk of presenting to the psychiatric emergency department after a suicide attempt during COVID-19.
  • The first wave of the pandemic was associated with a 3.1-times increased risk for all diagnostic groups.
  • Patients with schizophrenia had a lower risk of presenting to the psychiatric emergency department after a suicide attempt during COVID-19.

Takeaway

People with borderline personality disorder had a harder time during the COVID-19 pandemic, leading to more suicide attempts.

Methodology

Retrospective analysis of clinical documentation from a psychiatric emergency department during COVID-19 and control periods.

Potential Biases

Data quality relies on routine documentation, which may introduce bias.

Limitations

The study is retrospective and conducted in a single hospital, which may limit the generalizability of the results.

Participant Demographics

Median age of patients was 39 years, with 40.8% being female.

Statistical Information

P-Value

0.014

Confidence Interval

95%CI: 1.283–9.043

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s12888-024-06366-y

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