Routine outcome monitoring in adolescents with borderline features in psychiatric practice – a narrative review

Krzysztof Niedziela

doi:10.5114/psychs.2026.161438

eISSN: 3072-4511
ISSN: 2720-7048

Psychiatria Spersonalizowana / Personalized Psychiatry

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abstract:

Review article

Routine outcome monitoring in adolescents with borderline features in psychiatric practice – a narrative review

Krzysztof J. Niedziela

¹

Dział Interwencji Psychosomatycznej, Poradnia Zdrowia Psychicznego dla Dzieci i Młodzieży, Wojewódzki Szpital Specjalistyczny im. J. Gromkowskiego we Wrocławiu, Polska / Department of Psychosomatic Intervention, Mental Health Clinic for Children and Youth, J. Gromkowski Provincial Specialist Hospital in Wroclaw, Poland

Personalized Psychiatry 2026; 5: e74–e80

DOI: https://doi.org/10.5114/psychs.2026.161438

Online publish date: 2026/04/30

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Borderline features in adolescents are associated with emotional instability, self-harm, suicidal behaviour, relational difficulties, and impaired everyday functioning. Because the clinical picture is variable and strongly context-dependent, one-time assessment often fails to detect deterioration, partial improvement, or treatment response. The aim of this paper is to discuss the clinical value of routine outcome monitoring in adolescents with borderline features and to identify the domains most relevant to psychiatric practice. The most important of these include emotion dysregulation, self-harm and suicidal risk, socio-emotional functioning, school and daily functioning, and treatment engagement. Routine outcome monitoring may support safer, more flexible, and more individualized care planning.

keywords:

Routine outcome monitoring in adolescents with borderline features in psychiatric practice – a narrative review

Krzysztof J. Niedziela 1

borderline personality disorder, adolescence, outcome monitoring, self-injurious behavior, child and adolescent psychiatry

Krzysztof J. Niedziela

¹