{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:26:53Z","timestamp":1777408013619,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T00:00:00Z","timestamp":1648857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Ment Health"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>In the United Kingdom, mental health professionals have been historically reluctant to diagnose Personality Disorder in young people over many decades, and there is little evidence that much has changed. However, there are consequences to this reluctance. Personality Disorders in young people are absent from national prevalence studies and research is sparse, as a lack of diagnosed patients makes it hard to recruit for studies. Consequently, national policy\u2010makers lack an awareness of the scale of the problem and the focus on service provision to address it. Deliberate misdiagnosis of Personality Disorder due to professionals\u2019 unwillingness to use the diagnosis is not only unethical but can also cause harm as it stops young people from receiving the evidence\u2010based interventions and support that they require. Young people and families often experience reassurance and relief when they receive an accurate diagnosis. Professionals need to reconsider whether their reluctance to diagnose is in their patients\u2019 best interests.<\/jats:p>","DOI":"10.1111\/camh.12557","type":"journal-article","created":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T03:33:50Z","timestamp":1648870430000},"page":"196-198","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Debate: Child and adolescent mental health professionals have a responsibility to diagnose Personality Disorder"],"prefix":"10.1111","volume":"27","author":[{"given":"David","family":"Kingsley","sequence":"first","affiliation":[{"name":"Consultant Child and Adolescent Psychiatrist and Clinical Director (CAMHS) Priory Group Cheadle Cheshire UK"},{"name":"National Clinical Lead (Low Secure CAMHS), NHS England and NHS Improvement London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,2]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"1","article-title":"Improving attitudes towards personality disorder: Is training for health and social care professionals effective?","volume":"35","author":"Attwood J.","year":"2019","journal-title":"Journal of Personality Disorders"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370104600909"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.18.6.526.54798"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.109.028779"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022167817722230"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2009.23.5.494"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2008.02.004"},{"key":"e_1_2_4_9_1","volume-title":"Clinical practice guideline for the management of borderline personality disorder","author":"National Health and Medical Research Council","year":"2012"},{"key":"e_1_2_4_10_1","volume-title":"Borderline personality disorder: The NICE guideline on treatment and management","author":"National Institute for Health and Care Excellence","year":"2009"},{"key":"e_1_2_4_11_1","volume-title":"PS01\/20: Services for people diagnosed with personality disorder","author":"Royal College of Psychiatrists","year":"2020"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13505"},{"key":"e_1_2_4_13_1","volume-title":"The mental health of children and young people in England 2017: Trends and characteristics","author":"Sadler K.","year":"2018"}],"container-title":["Child and Adolescent Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/camh.12557","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/camh.12557","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/camh.12557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:12:48Z","timestamp":1761743568000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/camh.12557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,2]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1111\/camh.12557"],"URL":"https:\/\/doi.org\/10.1111\/camh.12557","archive":["Portico"],"relation":{},"ISSN":["1475-357X","1475-3588"],"issn-type":[{"value":"1475-357X","type":"print"},{"value":"1475-3588","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,2]]},"assertion":[{"value":"2022-03-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}