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Self-harming behaviours and suicidality are a serious problem in psychiatric patients with major depressive disorder (MDD) and borderline personality disorder (BPD). Suicidal behaviours are sometimes seen as manipulative and attention-seeking in BPD patients, and are therefore not considered as dangerous as the same behaviours in MDD patients. The Suicidal Feelings and Self-Harm Questionnaire, which examines suicidal intent, was administered to all new outpatients at the Psychiatric Treatment Clinic in the Department of Psychiatry at the University of Alberta Hospital in Edmonton, Canada. Thirty-seven percent of the MDD patients, 78% of the BPD patients, and 77% of patients with comorbid MDD and BPD reported a history of self-harm. Suicidal intent was measured by asking the patients whether they expected to die as a result of their self-harm. There was no statistically significant difference between the diagnostic groups in this regard. This suggests that BPD patients are no less serious about their intent to die than those with MDD.

Syfte: Studiens syfte var att undersöka om det fanns samband mellan psykisk ohälsa och oral hälsa i en population. Det sekundära syftet var att utföra kvalitetsundersökning av journalföring på avdelningen för Oral diagnostik på Odontologiska fakulteten Malmö Universitet.Material och metod: Materialet bestod av ett frågeformulär samt tillhörande journalhandlingar. Totalt granskades 530 journalhandlingar avseende patientens psykiska hälsostatus, kariologiska fynd, Decayed Missing Filled Teeth (DMFT), betandning samt parodontala fynd.Resultat: Totalt uppgav 15,7% individer psykisk ohälsa. Kariessjukdom var mer frekvent hos män med psykisk ohälsa. Kvinnor som medicinerades mot psykisk ohälsa uppvisades ha mer sällan tandköttsfickor >5 mm än de som inte medicinerade sig mot psykisk ohälsa. Granskningen av journalföringen uppvisade strukturella brister i journalföring av parodontalt status och psykisk ohälsa.Slutsats: Studiens resultat påvisar inga skillnader i populationen som sin helhet men att det finns skillnader i gruppnivå. Signifikanta skillnader observerades mellan könen när kariesprevalens relaterades till psykisk ohälsa. Vidare kunde det konstateras en skillnad mellan könen när tandköttsfickor >5 mm relaterades till medicinering mot psykisk ohälsa. Skillnader i journalföringen förekom särskilt gällande parodontal status och genererade en viss osäkerhet vid journalgranskningen. Brist i den strukturella journalhanteringen kan bidra till signifikanta misstolkningar av situationen. Dock anses denna osäkerhet inte åstadkomma betydande konsekvenser för patienten. För att reda ut denna variation av journalskrivning bör en tydligare mall vara obligatorisk för alla journalförare. Studiens resultat avviker från tidigare utförda studier. Ytterligare studier av prospektiv art skulle sannolikt förtydliga eventuella kausala samband kring orala hälsan av psykiatriska öppenvårdspatienter. / Purpose: The purpose of this study was to investigate whether there was a relationship between mental health and oral health in a normal population. The secondary purpose was to carry out a quality assurance of record keeping at the Department of Oral Diagnostics at the Faculty of Dentistry Malmö University.Material and method: The material consisted of a questionnaire and associated journal documents. A total of 530 journal documents were reviewed regarding the patient's mental health status, cariological findings, Decayed Missing Filled Teeth (DMFT) and periodontal findings.Results: A total of 15.7% of individuals reported mental illness. Caries was more frequent in men with mental illness. Women who were medicated for mental illness were found to have less frequent periodontal pockets >5 mm, than those who did not medicate for mental illness. Quality assurance showed that there was a lack of structure for recording periodontal status and mental illness.Conclusion: The study's results show no differences in the population in its entirety, but there are differences in group level. Significant differences were observed between the sexes when caries prevalence was related to mental illness. Furthermore, there was a difference between the sexes when periodontal pockets >5 mm were related to medication for mental illness. Differences in record keeping were particularly prevalent regarding periodontal status and generated some uncertainty in the journal review. Lack of structural journal management can contribute to significant misinterpretations of the situation. However, this uncertainty is not considered to have significant consequences for the patient. To clarify this variation of journal writing, a clearer template should be mandatory for all dental care providers. The study's results differ from previous studies. Further studies of a prospective nature will likely clarify any causal relationships around the oral health of psychiatric outpatients.