Adolescence and Personality Disorders

Vito, Enrico de; Ladame, François; Orlandini, Alvise

doi:10.1007/978-1-4757-6876-3_7

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…It is worth noting that some authors (e.g., Meijer, Goedhart, & Treffers, 1998; de Vito, Ladame, & Orlandini, 1999) have argued against diagnosing borderline pathology during adolescence because of concerns about the instability and/or predictive validity of adolescent personality (see Grilo, Becker, Edell, & McGlashan, 2001; Johnson, Chen, & Cohen, 2004; Levy et al, 1999). However, research with adults has also increasingly revealed that personality disorder symptoms are less stable than once thought but have considerable predictive validity (Gunderson et al, 2011; Grilo et al, 2004; Hopwood et al, 2009; Hopwood & Zanarini, 2010; Samuel et al, 2011; Shea et al, 2002; Zanarini et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

The influence of borderline personality features on inpatient adolescent suicide risk.

Yalch

Hopwood

Fehon

et al. 2014

Personality Disorders: Theory, Research, and Treatment

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Suicide is a leading cause of death among adolescents and suicidal behavior is one of the primary risk factors for youth psychiatric hospitalizations. A number of studies indicate that depression and substance abuse are associated with suicide risk in this population, but less is known about the role of borderline personality features or their incremental influence over other known risk factors in indicating suicidal behavior among adolescents. This study examined whether borderline features were associated with suicide risk when controlling for symptoms of depression and substance abuse in a sample of adolescents hospitalized in an inpatient psychiatric facility. Self-report data from 477 adolescent psychiatric inpatients were used to test hypotheses about the association of borderline features with suicide risk after controlling for other common risk factors. Borderline features were significantly related to suicide risk even after accounting for symptoms of depression and substance abuse. These findings underscore the clinical value of routinely assessing borderline features among adolescents.

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Section: Discussionmentioning

confidence: 99%

The influence of borderline personality features on inpatient adolescent suicide risk.

Yalch

Hopwood

Fehon

et al. 2014

Personality Disorders: Theory, Research, and Treatment

View full text Add to dashboard Cite

show abstract

Borderline personality disorder in suicidal adolescents

Yen

Gagnon

Spirito

2012

Personality & Mental Health

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The diagnosis of Borderline Personality Disorder (BPD) in adolescents has been controversial. Thus, few studies have examined BPD in suicidal adolescents, even though it is strongly associated with suicidal behaviors in adults. This study examines differences between suicidal adolescents with (n=47) and without (n=72) BPD on history and characteristics of suicidal behavior, Axis I comorbidity, affect regulation, and aggression. Assessments were completed with both adolescents and parents, and consensus ratings based on best available data were analyzed. BPD participants were more likely to have a past history of suicide attempts and to have been admitted due to a suicide attempt (vs. suicidal ideation). There were no significant differences in self-injurious behaviors or degree of suicidal ideation. BPD participants also had more psychiatric comorbidity and higher aggression scores, but no significant differences in affective dysregulation compared to suicidal adolescents without BPD. Diagnostic stability over 6 months was modest. Our results demonstrate that compared to other acutely suicidal adolescents, the clinical profile of BPD participants is unique and suggests an increased risk for suicidal behaviors. This extends upon other studies which support the construct validity of BPD during adolescence and suggests that BPD should be considered in suicide risk assessment for adolescents.

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Personality disorder in adolescence: The diagnosis that dare not speak its name

Chanen¹,

McCutcheon²

2008

Personality & Mental Health

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Adolescence and Personality Disorders

Cited by 4 publications

References 15 publications

The influence of borderline personality features on inpatient adolescent suicide risk.

The influence of borderline personality features on inpatient adolescent suicide risk.

Borderline personality disorder in suicidal adolescents

Personality disorder in adolescence: The diagnosis that dare not speak its name

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