The subacute hospital treatment of the borderline patient: III. Management of suicidal crisis by family intervention.
A family approach to suicidal crises in hospitalized borderline patients is described. The approach is aimed not only at the acute crises, but at the likelihood that repetitive, panic-inducing suicidal episodes provoke shame-producing over-regulation in the short run or exhaustion of support systems (family and treatment team) in the long run. An emergency family session with a hospitalized patient in acute suicidal crisis is presented. Subacute hospital treatment must respond to these crises mindful of long-term as well as acute risks. Subacute hospitalization allows for family intervention to buttress support systems for the long term task of caring for the suicidal borderline patient.
Lansky
M R
MR
UCLA Medical School.
D000328:Adult; D001883:Borderline Personality Disorder / Q000523:psychology / Q000628:therapy*; D002908:Chronic Disease; D003379:Countertransference; D003419:Crisis Intervention / Q000379:methods*; D005190:Family / Q000523:psychology*; D005260:Female; D006760:Hospitalization; D006801:Humans; D011209:Power, Psychological; D012752:Shame; D000092864:Suicide Prevention