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Rashid, M. and Gosai, I. (2011) The Girl Who Swallows Knives: Uncontrollable Deliberate Self-Harm in a Teenage girl with Borderline Personality Disorder. BMJ Case Reports, 2011, bcr0720103136.
http://dx.doi.org/10.1136/bcr.07.2010.3136

has been cited by the following article:

  • TITLE: Management of a Cluster of Foreign Body Ingestion Incidents in Patients with Borderline Personality Disorder

    AUTHORS: Julia Dyke, Kyle Hendry, Jason Hill, Michael Schultz, Evan Mason, Paul Glue

    KEYWORDS: Borderline Personality Disorder, Swallowing, Foreign Body, Clinical Management

    JOURNAL NAME: Open Journal of Psychiatry, Vol.4 No.2, April 15, 2014

    ABSTRACT: Objective: Deliberate 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 medical/surgical methods (observation) and non-restrictive psychological approaches that enhanced patient self-efficacy.