Psychiatric Emergency Visits of Autistic Adults With or Without Documented Borderline Personality Disorder.

ABSTRACT: Autism and borderline personality disorder (BPD) are each associated with increased psychiatric emergency department (PsyED) use, yet the service impact of coexisting autism-BPD remains unclear. We conducted a retrospective chart review of 1027 PsyED visits by 345 autistic adults (2018-2020) at an urban Canadian psychiatric hospital to compare service patterns between those with and without a BPD diagnosis. Sociodemographics, presenting reasons, restraint use, and disposition were analyzed using mixed-effects logistic regression. BPD was documented in 33.5% of visits and in 11.0% of unique autistic individuals, more often in birth-assigned females. Among all autistic individuals' PsyED visits, an autism diagnosis was documented in 60.2% of their text-based charts. Furthermore, autism was d

SUBMITTER: Lee CJ 

PROVIDER: S-EPMC12853243 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature