Cochrane · systematic review · CD009353
Crisis interventions for adults with borderline personality disorder
Monk-Cunliffe, J, Borschmann, R, Monk, A, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
Developmental, Psychosocial and Learning ProblemsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
10
No studies
4
Included studies
NR
No studies 4 · 28.6%Ungraded 0 · 0%Very low 3 · 21.4%Low 7 · 50%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Joint crisis plan plus treatment as usual versus treatment as usual alone
Population: community‐dwelling adults with a diagnosis of borderline personality disorder
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Deatha Timing of outcome assessment: 6 months Joint crisis plan plus treatment as usual vs treatment | RR 0.91 [0.06, 14.14] | 1 study · 88 participants | Low Downgraded: imprecision, indirectness |
Self‐harm: mean number of self‐harm episodes Timing of outcome assessment: 6 months Joint crisis plan plus treatment as usual vs treatment | no estimate extracted | 1 study · 72 participants | Low Downgraded: imprecision, indirectness |
Suicidality Joint crisis plan plus treatment as usual vs treatment | no estimate extracted | NR | No studies |
Violence perpetration Joint crisis plan plus treatment as usual vs treatment | no estimate extracted | NR | No studies |
Hospital admissions: inpatient mental health nights Timing of outcome assessment: 6 months Joint crisis plan plus treatment as usual vs treatment | no estimate extracted | 1 study · 73 participants | Low Downgraded: imprecision, indirectness |
Quality of life Joint crisis plan plus treatment as usual vs treatment | no estimate extracted | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Cost‐effectiveness Timing of outcome assessment: 6 months Joint crisis plan plus treatment as usual vs treatment | no estimate extracted | 1 study · 73 participants | Very low Downgraded: indirectness |
Brief admission to psychiatric hospital by self‐referral plus treatment as usual versus treatment as usual alone
Population: adults meeting 3 or more diagnostic criteria for borderline personality disorder
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Deatha Timing of outcome assessment: 12 months Brief admission to psychiatric hospital by self‐referral plus treatment as usual vs treatment | RR 0.49 [0.05, 5.29] | 1 study · 125 participants | Low Downgraded: imprecision, indirectness |
Self‐harm: mean number of self‐harm episodes Timing of outcome assessment: 12 months Brief admission to psychiatric hospital by self‐referral plus treatment as usual vs treatment | no estimate extracted | 1 study · 125 participants | Low Downgraded: imprecision, indirectness |
Suicidality: mean number of suicide attempts over the preceding 2 weeks Timing of outcome assessment: 12 months Brief admission to psychiatric hospital by self‐referral plus treatment as usual vs treatment | no estimate extracted | 1 study · 125 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Violence perpetration: number of participants who perpetrated violencea Timing of outcome assessment: 12 months Brief admission to psychiatric hospital by self‐referral plus treatment as usual vs treatment | RR 2.95 [0.12, 71.13] | 1 study · 125 participants | Low Downgraded: imprecision, indirectness |
Hospital admissions: days of inpatient mental health care Timing of outcome assessment: 12 months Brief admission to psychiatric hospital by self‐referral plus treatment as usual vs treatment | no estimate extracted | 1 study · 125 participants | Low Downgraded: imprecision, indirectness |
Quality of life Brief admission to psychiatric hospital by self‐referral plus treatment as usual vs treatment | no estimate extracted | NR | No studies |
Cost‐effectiveness Brief admission to psychiatric hospital by self‐referral plus treatment as usual vs treatment | no estimate extracted | NR | No studies |