COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Substance abuse and trauma
• PTSD 5 times more likelihood with alcohol
abuse and dependence
• PTSD and veterans-75% met the criteria
for alcohol abuse
• 60% women & 20% of men in alcohol
recovery programs-childhood sexual
abuse
The Oregon study
• The highest use of acute psychiatric were
individuals with BPD
– In one county 69 individuals with BPD were
hospitalized 412 times-average 6 days
– 60% had 353 hospitalizations-total 2,634 days
– estimated cost 1.3 million dollars
– 21 accounted average 308 hospitalization
average length stay 7.7 days
Blackshaw,1999
SUICIDE AND BPD
• A diagnosis of personality disorder is
found in 9% to 28% of completed suicides.
• A diagnosis of personality disorder is
found in 55% of persons who attempt
suicide.
SUICIDE AND BPD (Cont’d)
• Borderline personality disorder is the only
personality diagnosis that includes suicidal
behavior as a criterion.
• Many suicide attempts by people with BPD
appear to arise from a background of
anger or impulsivity (impulsiveaggression).
SUICIDE AND BPD (Cont’d)
• There is wide consensus of the predictive
importance of prior attempts in both
retrospective and prospective studies of
attempters and completers in a wide variety of
studies and across diagnoses.
• Number of prior attempts relates to prediction of
present attempt; seriousness of intent; and to
degree of medical lethality.
(Adapted from Soloff, P.H., et al., 1994).
PARASUICIDAL BEHAVIORS
• Nonfatal acts in which an individual deliberately
causes self-injury or ingests a substance in
excess of any prescribed or generally
recognized dose.
• 3/4 of BPD clients have committed at least one
parasuicidal act.
• Parasuicidal acts are never accepted as
therapeutic choice
(Adapted form Linehan, 1993.)
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