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Tijdschrift voor Psychiatrie 50 (2008) 5, 283 - 287

Case report

Treating chronic suicidality involves taking risks

B.W. Koekkoek, A.J.A. Kaasenbrood

summary
Chronic suicidality in patients with borderline personality disorder differs substantially from acute suicidality and therefore requires a different approach. On the basis of a case study and a review of the literature, we argue that treatment should definitely involve the taking of short-term risks for the purpose of achieving long-term success. A thorough assessment of the pros and cons is however a prerequisite for this strategy and some precautions need to be taken.

keywords borderline personality disorder, chronic suicidality, psychotherapy