RNQualitativeNursing open2023

Relatives' experiences of brief admission in borderline personality disorder and self-harming behaviour.

Sally Hultsjö, Hanna Rosenlund, Lisa Wadsten and 1 others

PMID 36403239

WHAT IT FOUND

Relatives of people with borderline personality disorder said brief admission let them relax because help was available early, the stay was predictably short, and the patient could keep work and family roles.

Some wanted more information.

Key findings

01Relatives described reduced anxiety and more time for themselves and other family members when the patient had access to brief admission.

02Relatives described a predictable short stay and freedom to move between home and the ward as helping them plan daily life while the patient continued work, family contact and routine care.

03Relatives wanted more information and ward access, and said unavailable places or limited availability made it hard to get early help.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study included 12 relatives from one Swedish region, so the themes may not apply to other settings, countries or service models. Brief admission is organised differently in different places, so transferability is limited. Most interviews were conducted by phone, so body language and emotional reactions were not captured. Only four participants were men, and relatives were identified through patients, so other family perspectives may be missing. No measurements of anxiety, self-harm, admissions, quality of life or relatives' burden were made, so the study cannot show whether brief admission works. The analysis relies on conventional content analysis and the authors' categorisation, so important parts of what relatives said could have been missed.

Declared interests

The work was supported by the Department of Psychiatry, Ryhov County Hospital, Jönköping. The authors report no conflicts of interest.

The easy way to misread this

Do not read this as proof that brief admission prevents self-harm or reduces admissions. It is a qualitative study of relatives' experiences, not a trial of outcomes.

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