Book contents
- Case Studies Stahl’s Essential Psychopharmacology
- Case Studies: Stahl’s Essential Psychopharmacology
- Copyright page
- Contents
- Contributors
- List of icons
- Abbreviations
- Section I Aggression and Violence in the Forensic Setting
- Section II Self-Injurious Behaviors (SIB) or Non-suicidal self-injury (NSSI)
- 4 Self-injurious behavior (SIB) and violence: Inward and outward
- 5 Non-suicidal self-injury (NSSI): Death by a thousand cuts
- 6 Prolonged fasting: Starved for care
- 7 Severe suicidality: To die at any cost
- Section III Critical Associated Syndromes Of Severe Mental Illness (SMI)
- Section IV Iatrogenic Syndromes and Drug-Associated Side Effects
- Section V Complex Comorbidities
- Section VI Specialty Forensic Populations
- Case Studies: Index
- Index of drug names
- References
7 - Severe suicidality: To die at any cost
The Psychopharmocological Dilemma: Treating persistent self-injurious behavior and chronic suicidality
from Section II - Self-Injurious Behaviors (SIB) or Non-suicidal self-injury (NSSI)
Published online by Cambridge University Press: 12 February 2026
Book contents
- Case Studies Stahl’s Essential Psychopharmacology
- Case Studies: Stahl’s Essential Psychopharmacology
- Copyright page
- Contents
- Contributors
- List of icons
- Abbreviations
- Section I Aggression and Violence in the Forensic Setting
- Section II Self-Injurious Behaviors (SIB) or Non-suicidal self-injury (NSSI)
- 4 Self-injurious behavior (SIB) and violence: Inward and outward
- 5 Non-suicidal self-injury (NSSI): Death by a thousand cuts
- 6 Prolonged fasting: Starved for care
- 7 Severe suicidality: To die at any cost
- Section III Critical Associated Syndromes Of Severe Mental Illness (SMI)
- Section IV Iatrogenic Syndromes and Drug-Associated Side Effects
- Section V Complex Comorbidities
- Section VI Specialty Forensic Populations
- Case Studies: Index
- Index of drug names
- References
Summary
Meta-analyses of symptom-focused medication management suggest that impulsive and behavioral dysregulation in borderline personality disorder (BPD) is best treated by which of the following classes of psychotropics?
Information
- Type
- Chapter
- Information
- Case Studies: Stahl's Essential PsychopharmacologyForensic Psychiatry, pp. 73 - 82Publisher: Cambridge University PressPrint publication year: 2026
References
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.). Washington, DC: APA. https://doi.org/10.1176/appi.books.9780890425787.Google Scholar
Bozzatello, P., Rocca, P., De Rosa, M. L., & Bellino, S. (2019). Current and emerging medications for borderline personality disorder: is pharmacotherapy alone enough? Expert Opinion on Pharmacotherapy, 21(1), 47–61. https://doi.org/10.1080/14656566.2019.1686482.CrossRefGoogle ScholarPubMed
Choi-Kain, L. W., Finch, E. F., Masland, S.R., et al. (2017). What works in the treatment of borderline personality disorder. Current Behavioral Neuroscience Reports, 4, 21–30. https://doi.org/10.1007/s40473-017-0103-z.CrossRefGoogle ScholarPubMed
Gunderson, J. G. & Choi-Kain, L. W. (2018). Medication management for patients with borderline personality disorder. American Journal of Psychiatry, 175(8), 709–711. https://doi.org/10.1176/appi.ajp.2018.18050576.CrossRefGoogle ScholarPubMed
Stahl, S. M. (2005). Essential Psychopharmacology: The Prescriber’s Guide. New York: Cambridge University Press.Google Scholar
Watt-McMahon, K., Mildred, H., King, R., Craigie, G., Hyder, S., & Hall, K. (2023). Understanding chronic suicidality in borderline personality disorder through comparison with depressive disorder: a systematic review. Clinical Psychologist, 27(2), 232–258. https://doi.org/10.1080/13284207.2023.2190879.CrossRefGoogle Scholar
Witt, K. G., Hetrick, S. E., Rajaram, G., et al. (2021). Pharmacological interventions for self-harm in adults. Cochrane Database of Systematic Reviews, 1. Art. No.: CD013669. https://doi.org/10.1002/14651858.CD013669.pub2.Google ScholarPubMed
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