Borderline personality disorder in Irish Travellers: a cross-sectional study of an ultra-high-risk group.
Ir J Med Sci
; 190(2): 735-740, 2021 May.
Article
em En
| MEDLINE
| ID: mdl-32920694
ABSTRACT
BACKGROUND:
Irish Travellers are a marginalised ethnic minority with poor health outcomes, especially in mental health the suicide rate in this population is 6-7 times that in the general population. There is a paucity of research into associated clinical risk factors including self-harm and mental illnesses.AIMS:
To examine the prevalence and treatments of mental disorders among Travellers attending a community mental health team (CMHT) in Galway.METHODS:
This is a cross-sectional study of the CMHT database, and included all Travellers who were active cases on the study day were included in this study.RESULTS:
Travellers formed 12.4% (51 out of 410) of the active caseload of the mental health service. The mean age was 35.7 years (SD 13.1). The most common mental disorder was depressive disorder (16/51, 31.4%). Of 51 patients, 25.5% (13/51) were diagnosed with BPD 7 had other comorbid mental disorders. Patients diagnosed with BPD are significantly more likely to be prescribed psychopharmacotherapy (t = 2.834, p = 0.007). A diagnosis of BPD was significantly associated with history of self-harm after controlling for age and gender (OR 2.3, p = 0.005).CONCLUSION:
This study shows that there is a significant overrepresentation of Travellers in mental health services, suggesting significant need for accessible and acceptable interventions. Those with a BPD diagnosis have a significantly higher risk of self-harm, representing an ultra-high-risk population. These findings can be used to plan future service development projects to better meet the needs of this population they may require specially adapted version of the mentalisation-based treatment programme.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Transtorno da Personalidade Borderline
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Etnicidade
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Comportamento Autodestrutivo
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Doença Relacionada a Viagens
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Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prevalence_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article