{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T01:02:12Z","timestamp":1788397332737,"version":"build-2803163510"},"reference-count":31,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T00:00:00Z","timestamp":1652745600000},"content-version":"unspecified","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec id=\"S2056472422000540_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Mental health crisis presentations are common in those who have a diagnosis of borderline personality disorder (BPD), and psychosocial interventions should be provided. However, there is limited evidence outlining what a crisis-focused psychosocial intervention for this population should include.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422000540_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>To conduct a systematic review and narrative synthesis of crisis-focused psychosocial interventions for people diagnosed with BPD.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422000540_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>Three databases (MEDLINE, Embase, PsycInfo) were searched for eligible studies. Studies were included if they were quantitative studies comparing a crisis-focused intervention with any control group and they included adults (18+ years of age) who were diagnosed with BPD (or with equivalent experiences). A narrative synthesis was undertaken to analyse results.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422000540_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>A total of 3711 papers were initially identified, 95 full texts were screened and 5 studies were included in the review. Two of five studies reported on the same trial, so four individual trials were included. Overall moderate risk of bias across studies was identified. The review tentatively demonstrated that crisis-focused psychosocial interventions are feasible and acceptable to people with BPD and that they have potential impacts on outcomes such as self-harm and number of days spent in hospital. There is limited consensus on what outcome measures should be used to assess the impact of interventions.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422000540_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>There is presently insufficient data to recommend any specific psychosocial crisis intervention for people with BPD. Given the relationship between BPD and the high frequency of crises experienced by this group, further large-scale trials examining crisis-focused psychosocial interventions are required.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422000540_sec_a6\" sec-type=\"conclusions\">\n\t    <jats:title>Statement on language<\/jats:title>\n\t    <jats:p>We acknowledge that the term personality disorder can be controversial and stigmatising. As the term borderline personality disorder has been retained in DSM-5 and is used in the research evidence base we have decided to use this term throughout this review. However, we recognise that this term may not be acceptable to all.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2022.54","type":"journal-article","created":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T09:08:57Z","timestamp":1652778537000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":8,"title":["Crisis-focused psychosocial interventions for borderline personality disorder: systematic review and narrative synthesis"],"prefix":"10.1192","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6640-8218","authenticated-orcid":false,"given":"Lisa","family":"Wood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liberty","family":"Newlove","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2022,5,17]]},"reference":[{"key":"S2056472422000540_ref8","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2011.25.1.59"},{"key":"S2056472422000540_ref5","volume-title":"NHS Long Term Plan","year":"2019"},{"key":"S2056472422000540_ref10","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2022.1"},{"key":"S2056472422000540_ref3","first-page":"CD009353","article-title":"Crisis interventions for people with borderline personality disorder","volume":"6","author":"Borschmann","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"S2056472422000540_ref31","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"S2056472422000540_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2007.04.001"},{"key":"S2056472422000540_ref13","first-page":"1","article-title":"Improving outcomes for people in mental health crisis: a rapid synthesis of the evidence for models of care","volume":"20","author":"Paton","year":"2016","journal-title":"Health Technol Assess"},{"key":"S2056472422000540_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2020.03.041"},{"key":"S2056472422000540_ref20","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0206472"},{"key":"S2056472422000540_ref30","first-page":"1","article-title":"Developing a core outcome set for interventions to improve discharge from mental health inpatient services: a survey, Delphi and consensus meeting with key stakeholder groups","volume":"12","author":"Tyler","year":"2020","journal-title":"BMJ Open"},{"key":"S2056472422000540_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/2051-6673-1-14"},{"key":"S2056472422000540_ref16","volume-title":"Cochrane Handbook for Systematic Review of Interventions, Version 5.1.0","author":"Higgins","year":"2011"},{"key":"S2056472422000540_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12637"},{"key":"S2056472422000540_ref6","volume-title":"Preventing Suicide: A Global Imperative","year":"2014"},{"key":"S2056472422000540_ref17","volume-title":"Guidance on the Conduct of Narrative Synthesis in Systematic Reviews","author":"Popay","year":"2006"},{"key":"S2056472422000540_ref18","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.113.043109"},{"key":"S2056472422000540_ref26","volume-title":"The Evolution of the Cape Cod Model: Gestalt Conversations, Theory and Practice","author":"Melnick","year":"2018"},{"key":"S2056472422000540_ref19","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.117762"},{"key":"S2056472422000540_ref1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452204123.n5"},{"key":"S2056472422000540_ref15","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"S2056472422000540_ref23","doi-asserted-by":"publisher","DOI":"10.1136\/fn.84.2.F79"},{"key":"S2056472422000540_ref29","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.3.3.433"},{"key":"S2056472422000540_ref11","doi-asserted-by":"publisher","DOI":"10.1348\/014466503322528892"},{"key":"S2056472422000540_ref27","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"S2056472422000540_ref24","first-page":"1","article-title":"The Cochrane Collaboration's tool for assessing risk of bias in randomised trials","volume":"343","author":"Higgins","year":"2011","journal-title":"BMJ Open"},{"key":"S2056472422000540_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2308-z"},{"key":"S2056472422000540_ref14","unstructured":"14 National Collaborating Centre for Mental Health. Borderline Personality Disorder: Treatment and Management (NICE Clinical Guideline, CG78). 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Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e94"}}