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Characteristics of in-patients without psychosis

Implications for service provision and the recognition of personality disorder

Published online by Cambridge University Press:  02 January 2018

Jonathan H. Dowson ,
Pamela Sussams  and
Adrian T. Grounds
Jonathan H. Dowson*
Affiliation:
Department of Psychiatry, Level E4, Addenbrooke's Hospital, Cambridge CB2 2QQ
Pamela Sussams
Affiliation:
Department of Psychiatry, University of Cambridge
Adrian T. Grounds
Affiliation:
Department of Psychiatry, University of Cambridge
*
∗Correspondence
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Abstract

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In a study of a population over 13 months, ratings were made from medical records of adults who were admitted to short-stay, non-secure (acute) psychiatric beds. Of 197 patients, 126 fulfilled DSM-IV criteria for specified psychoses; 57 of the 71 remaining non-psychotic patients had a history of repeated self-harm, or threats of self-harm, and/or a substance-related disorder. Both these behaviours can be a manifestation of, and be associated with, personality disorder. It was considered that personality disorder made an important contribution to the psychopathology in the non-psychotic patients. The findings suggest a need to evaluate the alternative to in-patient care in a standard acute unit for such patients.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 21 , Issue 9 , September 1997 , pp. 553 - 556
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1997 The Royal College of Psychiatrists

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