{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:56:15Z","timestamp":1770684975378,"version":"3.49.0"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,5,18]],"date-time":"2017-05-18T00:00:00Z","timestamp":1495065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This aims of this study were: (1) to determine the prevalence of co\u2010occurring borderline personality disorder (<jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content>) in a first\u2010episode psychosis (<jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content>) sample; (2) to determine differences between patients with and without <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> on demographics, comorbidities and clinical risks and other variables; and (3) to examine whether <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> comorbidity influenced treatment received by patients for <jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content> during their first 3 months after service entry to a specialist early psychosis service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A file audit was conducted for 100 consecutive admissions to an early psychosis service. Patients with a clinician\u2010rated co\u2010occurring diagnosis of <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> were compared with patients without clinician\u2010rated <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> on a range of variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010two percent of the <jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content> sample was diagnosed with co\u2010occurring <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> by clinician ratings. The <jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content> group with co\u2010occurring <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> was found to be younger, more likely to have other comorbidities, and were at higher risk of suicide and violent behaviour. Group differences were found in treatment received for <jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content>, whereby patients with co\u2010occurring <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> had poorer access to standard treatment, including guideline concordant antipsychotic medication prescription.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Young people with co\u2010occurring clinician\u2010rated <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content> experienced greater difficulty accessing standard care for <jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content> and received relatively different treatment, including different pharmacotherapy, compared with those <jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content> patients without <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content>. There is a need to develop new clinical guidelines and effective treatments for this specific subgroup with early psychosis and co\u2010occurring <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> that take into account interpersonal and \u201cpremorbid\u201d aspects of their presenting problems.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12435","type":"journal-article","created":{"date-parts":[[2017,5,18]],"date-time":"2017-05-18T07:47:07Z","timestamp":1495093627000},"page":"1166-1172","source":"Crossref","is-referenced-by-count":23,"title":["Does co\u2010occurring borderline personality disorder influence acute phase treatment for first\u2010episode psychosis?"],"prefix":"10.1111","volume":"12","author":[{"given":"Shona M.","family":"Francey","sequence":"first","affiliation":[{"name":"Orygen, The National Centre of Excellence in Youth Mental Health  Melbourne Victoria 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