{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T05:41:10Z","timestamp":1778996470981,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T00:00:00Z","timestamp":1725408000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Acute crises in patients with personality disorders (PD) are often accompanied by suicidal and self-harming behavior. Their management is challenging, as both coercive measures and prolonged inpatient-treatment are known to be counterproductive. Only in crises that cannot be controlled by outpatient means, inpatient treatment is to be taken into account. This treatment should be time-limited and not involve coercion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The aim of this study was to assess if the introduction of a specialized crisis intervention track is associated with a reduction of coercive measures as well as a shorter in-hospital stay in PD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this 8-year, hospital-wide, longitudinal, observational study, we investigated the frequency of coercive measures and the median length of in-hospital stay in 1,752 inpatient-cases with PD admitted to the Adult Psychiatry, UPK, Basel, Switzerland, between 01.01.2012 and 31.12.2019. By means of an interrupted-time-series analysis, we compared the period before and after the implementation of a specialized crisis intervention track for PD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Our data show a significant decrease in the median length of in-hospital stay and no significant reduction in the incidence rate of coercion among PD patients after the intervention. The latter is likely due to a floor effect, since there was a significant decrease in coercive measures over the entire observation period, already reaching very low rates before the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our study underlines the clinical importance of specialized short-term crisis management in PD, which comes along with shorter lengths of in-hospital stays and a stable low rate of coercive measure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640241277161","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T13:12:22Z","timestamp":1725455542000},"page":"1516-1524","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Specialized short term crisis intervention for patients with personality disorder: Effects on coercion and length of stay"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3237-4437","authenticated-orcid":false,"given":"Lisa L.","family":"Dinsenbacher","sequence":"first","affiliation":[{"name":"University Psychiatric Clinics (UPK), University of Basel, Switzerland"},{"name":"Faculty of Medicine, University of Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Imfeld","sequence":"additional","affiliation":[{"name":"University Psychiatric Clinics (UPK), University of Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrice","family":"Helfenstein","sequence":"additional","affiliation":[{"name":"Clinical Trial Unit, Department of Clinical Research, Faculty of Medicine, University of Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7823-3651","authenticated-orcid":false,"given":"Julian","family":"Moeller","sequence":"additional","affiliation":[{"name":"University Psychiatric Clinics (UPK), University of Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Undine E.","family":"Lang","sequence":"additional","affiliation":[{"name":"University Psychiatric Clinics (UPK), University of Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian G.","family":"Huber","sequence":"additional","affiliation":[{"name":"University Psychiatric Clinics (UPK), University of Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,4]]},"reference":[{"key":"bibr1-00207640241277161","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2022.534"},{"key":"bibr2-00207640241277161","doi-asserted-by":"publisher","DOI":"10.1007\/s00115-019-0704-8"},{"key":"bibr3-00207640241277161","first-page":"135","volume":"5","author":"Euler S.","year":"2018","journal-title":"Swiss archives of neurology, psychiatry and psychotherapy"},{"key":"bibr4-00207640241277161","volume-title":"Borderline personality disorder: A clinical guide","author":"Gunderson J. 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