Treatment of suicidality, self-harm, personality functioning and loneliness in older adults with personality disorder Mental and Behavioural Disorders
Conditions
Interventions
This study uses a multiple single case series design, a form of Single Case Design (SCD). It will employ quantitative methods to track changes in personality functioning over time using the LPFS 2.0 s
Sponsors
Greater Manchester Mental Health NHS Foundation Trust
Eligibility
Sex/Gender
Male
Age
65 Years to 110 Years
Inclusion criteria
Inclusion criteria: 1. Resident of Manchester, England 2. Aged 65 or over 3. Confirmed Personality Disorder diagnosis via the Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD) or significant associated traits (Personality Disorder trait specified according to DSM-5). If individuals don't fully meet the criteria, their sub-threshold presentation will be explicitly noted (one criterion less than the cut-off point for the personality disorder) 4. Ability to provide informed consent 5. Under the care of a local community mental health team
Exclusion criteria
Exclusion criteria: 1. Primary issues related to psychosis, dementia, or mild cognitive impairment 2. Primary concerns associated with antisocial personality disorder or significant violent/aggressive traits 3. Ability to attend the outpatient clinic (free transport provided) 4. A diagnosis of autism won't be an exclusion criterion if all other inclusion criteria are met. The study's service site has seen referrals for individuals with autism over the past 18 months, and they've shown improvement in their outcome measures.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Changes in personality functioning will be measured using the Level of Personality Functioning Scale Brief Form (LPFS-BF 2.0) administered weekly, following each individual therapy session 2. Loneliness will be measured using the Social Isolation Short Form 4a, administered weekly, following each individual therapy session 3. Service use will be investigated to determine if there is any potential cost saving for the NHS. Participants will be asked to consent to the research team to take a record of: 3.1. Unplanned contact with the service 3.2. A and E attendances 3.3. Crisis line contacts 3.4. Days in psychiatric hospital 3.5. Days spent in the general hospital 4. Self-harm and suicidal behaviour will be measured by collecting data on incidents of self-harm recorded in the clinical record, and incidents where the participant has engaged in self-injury or self-neglect, where they intended to cause life-threatening injury | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcome measures will be assessed at the start of baseline, start of treatment, 6, 12, 18 months into the treatment and at the end of follow-up: 1. Quality of Life will be measured using the Recovering Quality of Life (ReQol-10) scale 2. Patient Satisfaction will be measured using the Dialog Satisfaction Scale 3. Suicidality will be measured using the Columbia Suicidality Response Severity Scale (CSRSS) | — |
Countries
England, United Kingdom
Contacts
Public ContactLuke Jordan
Outcome results
None listed