Giving patients the keys: Self-Controlled hospital stays may curb forced admissions

NCT ID NCT06406972

Disease control Sponsor: Region Skane Source: ClinicalTrials.gov ↗

First seen Jul 06, 2026 · Last updated Jul 07, 2026 · Updated 1 time

Summary

This study tests whether allowing people with borderline personality disorder and a history of self-harm to admit themselves for up to three nights (three times per month) reduces the use of compulsory (forced) psychiatric care. Researchers will compare clinics that implement this program at different times, using registry data from over 1,300 participants. The goal is to see if patient-controlled brief admissions can lower involuntary hospitalizations and improve outcomes.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance: Brief Admission by self-referral (BA) — a patient-controlled, short inpatient stay program
What this could lead to: If effective, this approach could reduce the need for forced hospitalizations and give people more control over their care.
What could go wrong: Previous trials found no clear benefit, and the study relies on comparing clinics over time, which may still be affected by contamination.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Participants

1,343 people

The number who actually took part.

Started

Sep 2010

Finished

Apr 2026

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

Individuals with repeated self-harm and traits of Borderline personality disorder

Ages

18 to 65 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Living in the uptake area of Lund, Linköping, Helsingborg or Norrköping * Age 18-65 years at the time of inclusion * Admitted to hospital either diagnosed with ICD-10 diagnosis BPD F60.3, or admitted at least twice with Intentional self-harm X60-83 in combination with one of more of the following diagnoses ADHD (F90.0-F90.X), Bipolar disorder type 2, (F31.8W, F318A-F, F31.0, F31.8-9, F31.8W) or Autism, Atypical autism, Aspergers syndrome (F84.0, F84.1, F84.5) or Mild intellectual disability (F70.0-F70.9). Exclusion Criteria: * not fulfilling inclusion criteria

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Conditions

The condition(s) this trial relates to.

borderline personality disorder Self-Injurious Behavior Suicide Suicide, Attempted

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Borderline personality disorder Emergency psychiatric Hospitalizations psychiatric Self-harm Self-injury Suicide Suicide, attempted

Giving patients the keys: Self-Controlled hospital stays may curb forced admissions

What the study statuses mean