foreign body ingestion (DFBI) has been reported in patients with personality
disorders as part of a spectrum of self-harming behaviours, however the
published literature is small (15 case reports). Method: This was a
retrospective audit of medical and psychological management of a cluster of 12
DFBI incidents over 9 months in 4 young female patients with Borderline
Personality Disorder (BPD). Results: All
four patients knew one another from outpatient psychotherapy programmes. DFBI
was associated with substance use in 5/12 incidents, and with precipitants
(experiencing strong emotions, witnessing self-harm) in 4/12 incidents. Most
DFBI involved sharp objects (razor blades, glass, safety pins). Medical
intervention was initially active (endoscopy/surgery) but progressed to a more
conservative, observational approach. Psychological management was initially
restrictive, but also changed over time to focus on identifying distress,
enhancing coping mechanisms and patient responsibility. Co-ordination of
patient care management involvedintensive liaison (provision of
interdisciplinary support and
education) between medical, surgical and psychiatric teams. Conclusion: Management of DFBI in patients with
BPD requires high levels of interdisciplinary collaboration. In this cluster of
DFBI incidents, effective management was achieved with conservative
(observation) and non-restrictive psychological approaches that enhanced patient self-efficacy.
Cite this paper
Dyke, J. , Hendry, K. , Hill, J. , Schultz, M. , Mason, E. and Glue, P. (2014) Management of a Cluster of Foreign Body Ingestion Incidents in Patients with Borderline Personality Disorder. Open Journal of Psychiatry
, 99-103. doi: 10.4236/ojpsych.2014.42014
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