Association of Adolescent Dimensional Borderline Personality Pathology with Past and Current Nonsuicidal Self-Injury and Lifetime Suicidal Behavior: A Clinical Multicenter Study

Kaess, Michael; Brunner, Romuald; Parzer, Peter; Edanackaparampil, Manju; Schmidt, Jan-Philip; Kirisgil, Melek; Fischer, Gloria J.; Wewetzer, Christoph; Lehmkuhl, Gerd; Resch, Franz

doi:10.1159/000448481

Cited by 16 publications

(12 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is difficult to compare these rates to the literature that is extremely limited as most studies on adolescent suicide and self‐injury do not assess for BPD, and for the studies that do, BPD traits but not the full diagnosis of BPD are the diagnostic outcome. Data from Kaess et al who studied lifetime suicide attempts and self‐injurious episodes in hospitalized adolescents with mixed diagnoses, including BPD, revealed rates roughly 50% less than our findings; and 50% for self‐injury and 35% for suicide attempts.…”

Section: Discussioncontrasting

confidence: 79%

“…More recently, Nakar et al studied 2‐year trajectories of self‐harm, suicide attempts and substance misuse in a community sample of 513 adolescents and found all three self‐destructive behaviours were highly overlapping and significantly associated with BPD symptomatology. In a sample of adolescent inpatients across Germany, 35% had a history of a suicide attempt, and dimensional BPD psychopathology conferred additional relative risk for a lifetime suicide attempt (OR = 2.36, 95% CI 1.69–3.30, p < 0.001) . In a study comparing suicidal adolescents with and without BPD, those with BPD exhibited more suicide attempts, aggression and psychiatric co‐morbidity …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Suicide attempts and self‐injurious behaviours in adolescent and adult patients with borderline personality disorder

Goodman

Tomás

Temes

et al. 2017

Personality & Mental Health

106

View full text Add to dashboard Cite

Objective Prevalence data on self-mutilation and suicide attempts for adolescent borderline personality disorder (BPD) is currently not available. The purpose of this paper was to determine the frequency and methods of two forms of physically self-destructive acts (i.e., self-mutilation and suicide attempts) reported by adolescent borderline inpatients in one of the largest samples to date and to compare these results with a similarly diagnosed and assessed group of adult borderline inpatients. Methods A total of 104 adolescent inpatients with BPD and 290 adult inpatients with BPD were interviewed about their lifetime history of physically self-destructive acts. Results The overall rates of self-mutilation (about 90%) and suicide attempts (about 75%) were similar during index admission for both adolescent and adult borderline patients. However, adolescents reported significantly higher rates of extreme levels of lifetime self-mutilation (e.g., >25 and >50 episodes) and cutting in particular, as compared to adult BPD. In contrast, borderline adults were significantly more likely to report a history of numerous (five or more) suicide attempts than adolescents with BPD. Conclusions Self-mutilation and suicide attempts among adolescent borderline patients are prevalent and serious. Taken together, these results suggest that extreme levels of self-mutilation distinguish adolescent BPD from adults with BPD.

show abstract

Section: Discussioncontrasting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Suicide attempts and self‐injurious behaviours in adolescent and adult patients with borderline personality disorder

Goodman

Tomás

Temes

et al. 2017

Personality & Mental Health

106

View full text Add to dashboard Cite

show abstract

“…For most adolescents, NSSI is a way to cope with intense emotions, self-critical thoughts, or to signal distress to others (2). NSSI is prospectively associated with increased risk for a variety of negative mental health outcomes, including anxiety, depression, disordered eating, and personality disorders (7)(8)(9)(10). For example, an earlier age of onset of NSSI (before age 13) and longer duration of NSSI during adolescence have been shown to significantly predict adult borderline personality disorder (BPD) (8).…”

Section: Introductionmentioning

confidence: 99%

“…NSSI is prospectively associated with increased risk for a variety of negative mental health outcomes, including anxiety, depression, disordered eating, and personality disorders (7)(8)(9)(10). For example, an earlier age of onset of NSSI (before age 13) and longer duration of NSSI during adolescence have been shown to significantly predict adult borderline personality disorder (BPD) (8). Also, several studies show NSSI to be a potent and unique risk factor for attempted suicide (11,12).…”

Section: Introductionmentioning

confidence: 99%

School-Based Prevention Targeting Non-Suicidal Self-injury: A Pilot Study

et al. 2020

View full text Add to dashboard Cite

Non-suicidal self-injury (NSSI) is prevalent in adolescence and is associated with increased risk for a variety of subsequent negative mental health outcomes, necessitating an evidence-based preventive approach. This pilot study examines the potential iatrogenic effects and feasibility of an evidence-based school program for the prevention of NSSI. Differences are examined between a general in-classroom prevention program (Happyles) and this program combined with a 1-h in-classroom psychoeducation module on NSSI (HappylesPLUS) in terms of primary (e.g., delay in NSSI onset and decrease in NSSI frequency, urges, probability of future engagement) and secondary outcomes (e.g., psychological distress, emotion regulation, help-seeking, and stigma) using a mixed-method design. A total of 651 secundary school pupils (M age = 12.85 years; 49.8% female versus 50.2% male) were assigned to the Happyles program and HappylesPLUS. Participants filled out validated self-report questionnaires pre (T0) and post (T1, 6 weeks after T0) the school prevention program, including the Youth Outcome Questionnaire (YOQ), the Brief Non-Suicidal Self-Injury Assessment Test (BNSSI-AT), the Difficulties in Emotion Regulation Scale (DERS), the Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (ATSPPH-SF), and the Peer Mental Health Stigmatization Scale (PMHSS). Qualitative semi-structured interviews (at T2,6 weeks after T1) were conducted with participants with and without a history of NSSI. Overall, results show no iatrogenic effects of the NSSI-focused psychoeducation module. In terms of our primary outcome, both groups reported a reduced likelihood of future NSSI engagement from T0 to T1. Regarding secondary outcome measures, we also observed increased emotional awareness in both groups. The qualitative data suggest that the addition of the NSSI-specific module to the Happyles program may have direct benefits to some students with lived experience, such as increased help-seeking behavior for NSSI. Findings of this pilot study show that incorporating NSSI-specific modules into evidencebased school prevention programs is feasible and does not lead to iatrogenic effects. Future work is needed to evaluate the potential (longer-term) benefits of incorporating NSSI-focused modules to evidence-based mental health programs in the prevention of NSSI.

show abstract

“…In a community-dwelling study with Italian adolescents, findings showed that non-suicidal self-injury (NSSI) and emotional dysregulation are moderately related to BPD features in adolescents [ 41 ]. This finding was replicated by Kaees and colleagues [ 42 ] in adolescent inpatients with NSSI and suicide attempts (SA) and showed that dimensional borderline pathology was associated with NSSI and SA. In line with recent developmental theories explaining BPD (i.e., mentalisation-based theory), Sharp and colleagues [ 43 ] found that specifically hypermentalizing (i.e., ascribing intentions and beliefs to people where non is) mediated the relationship between attachment coherence and borderline pathology.…”

Section: Introductionmentioning

confidence: 62%

Self-reported patterns of impairments in mentalization, attachment, and psychopathology among clinically referred adolescents with and without borderline personality pathology

Kongerslev

2017

bord personal disord emot dysregul

View full text Add to dashboard Cite

BackgroundPrevious research, which primarily focused on adult samples, suggests that individuals with borderline personality disorder (BPD) display high levels of psychopathology, dysfunctional mentalization and problematic attachment to others. The current study investigated whether impairments in mentalization, attachment, and psychopathology are more severe in outpatient adolescents with BPD than in a clinical comparison group.MethodsConsecutive referrals to a child and adolescent psychiatric clinic were clinically assessed with a battery of self-report instruments to assess mentalization, attachment, and psychopathology. Specifically, in regard to BPD a self-report questionnaire was employed to decide if patients were classified into the BPD or the clinical comparison group. The main outcome variables of adolescents with a primary diagnosis of BPD were then compared with those of a clinical comparison group comprising patients receiving psychiatric diagnoses other than BPD.ResultsRelative to the clinical group without BPD, and after controlling for sociodemographic variables, the BPD group displayed poorer mentalizing abilities, more problematic attachments to parents and peers, and higher self-reported levels of psychopathology.ConclusionsThe results of this study suggest that BPD is a severe mental condition in adolescents and is characterized by poor mentalizing abilities, attachment problems and high levels of psychopathology compared to adolescents with psychiatric disorders other than BPD. Hence, clinicians should consider BPD when conducting diagnostic assessments, and evidence-based treatments for this vulnerable group should be developed.

show abstract

Association of Adolescent Dimensional Borderline Personality Pathology with Past and Current Nonsuicidal Self-Injury and Lifetime Suicidal Behavior: A Clinical Multicenter Study

Cited by 16 publications

References 53 publications

Suicide attempts and self‐injurious behaviours in adolescent and adult patients with borderline personality disorder

Suicide attempts and self‐injurious behaviours in adolescent and adult patients with borderline personality disorder

School-Based Prevention Targeting Non-Suicidal Self-injury: A Pilot Study

Self-reported patterns of impairments in mentalization, attachment, and psychopathology among clinically referred adolescents with and without borderline personality pathology

Contact Info

Product

Resources

About