Mental health experts call for specialised training for emergency first responders on borderline personality disorder

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Mental health experts call for specialised training for emergency first responders on borderline personality disorder
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With one of the most common yet stigmatised mental illnesses, people with Borderline Personality Disorder often feel they are turned away by emergency first responders despite their high suicidal risks. Now experts and advocates want a change on this.

A Watch and Act warning is in place for Mount Sheila in the Shire of Ashburton, WA. Keep up to date withLooking back on her early 20s, Carissa Wright describes her episodes of borderline personality disorder at that time as "rough and isolating".The 33-year-old peer support worker from Perth recalled she would have intense emotional swings, often swamped by outburst of distress, sometimes with suicidal ideation.

A coronial inquest was held to investigate the incident, and the counsel assisting said the call operator from the mental health hotline could not be held responsible for Kobee's later interactions with police. Professor Sathya Rao says the intensive emotions that people with BPD experience may push them to use self-harm as coping mechanism.Professor Sathya Rao is the executive clinical director at Spectrum, a Victoria-based mental health organisation specialised in BPD and complex trauma.

However, there are limited resources and access to treatments to support people with BPD to go through the episodes, meaning they have to turn to emergency services to keep themselves safe, according to Professor Rao. And for many young people living with BPD, including Natasha Swingler, the stigma against BPD makes them hesitant to call emergency services, even if they are at risk of life.

"We still certainly hear of too many occasions where people are being denied appropriate and compassionate treatment, even for medical concerns," Brown said. He says it's time for the healthcare workforce and emergency services to learn more about what is BPD and how to assess and mitigate its risks."They're not choosing to be like this. In fact, they desperately want to seek help and be different and heal."

A spokesperson at the federal health department said it is state and territory governments' responsibility for training first responders, including the delivery of specialised training for mental health emergency first responders.

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