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Borderline personality disorder and the ethics of risk management: the action/consequences model.

Warrender, Dan

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Abstract

Patients with borderline personality disorder are frequent users of inpatient mental health units, with inpatient crisis intervention often used based on the risk of suicide. However this can present an ethical dilemma for nursing and medical staff, with these clinician responses shifting between the moral principles of beneficence and non-maleficence, dependent on the outcomes of the actions of containing or tolerating risk. This paper examines the use of crisis intervention through moral duties, intentions and consequences, culminating in an action/consequences model of risk management, used to explore potential outcomes. This model may be useful in measuring adherence and violation of the principles of beneficence and non-maleficence, and therefore an aid to clinical decision making.

Citation

WARRENDER, D. 2018. Borderline personality disorder and the ethics of risk management: the action/consequences model. Nursing ethics [online], 25(7), pages 918-927. Available from: https://doi.org/10.1177/0969733016679467

Journal Article Type Article
Acceptance Date Oct 15, 2016
Online Publication Date Jan 19, 2017
Publication Date Nov 1, 2018
Deposit Date Dec 9, 2016
Publicly Available Date Dec 9, 2016
Journal Nursing ethics
Print ISSN 0969-7330
Electronic ISSN 1477-0989
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 25
Issue 7
Pages 918-927
DOI https://doi.org/10.1177/0969733016679467
Keywords Borderline personality disorder; Ethics; Risk management; Beneficence; Nonmaleficence
Public URL http://hdl.handle.net/10059/2013

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