Psychiatric Emergencies: A Complex Case of Overdose and Assessment in the Emergency Department
In this chapter, we explore the challenges associated with patients experiencing chronic or recurrent suicidal ideation. We discuss the case of Jennifer, a woman suffering from borderline personality disorder who presents to the emergency department in a time of interpersonal crisis. We review suicide risk assessments in this vulnerable population, highlight key risk factors, and provide an example of risk assessment documentation. We present therapeutic techniques for managing personal and countertransference reactions, drawing from techniques associated with Dialectical Behaviour Therapy. We explore the interface between medical and psychiatric issues in the emergency setting and review recommendations for dealing with these complex patients. Finally, we revisit our case and discuss a trauma-informed approach to managing agitation and distress.
KeywordsBorderline personality disorder Suicide Risk assessment Emergency management
Borderline personality disorder
Dialectical Behaviour Therapy
- Project BETA
Best Practices in Evaluation and Treatment of Agitation
“The authors have nothing to disclose.”
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