Borderline personality disorder associates with violent criminality in women: A population based follow-up study of adolescent psychiatric inpatients in Northern Finland

Abstract

Various psychiatric problems in adolescence and early adulthood have been shown to associate with criminal behaviour. In this study the association of personality disorders (PDs) with criminal behaviour was examined in adolescents treated in psychiatric hospitals. The study sample consisted of 508 adolescents (age 13-17) admitted to acute psychiatric impatient care between April 2001 and March 2006. Crime data was obtained from the Finnish Legal Register Centre on September 2013. The Schedule for Affective Disorder and Schizophrenia for School-Age Children Present and Lifetime (K-SADS-PL) was used to assess psychiatric diagnoses in adolescence. The information on PDs in early adulthood was based on follow-up information on psychiatric treatments in either out- or inpatient settings until the end of 2012, and was extracted from the National Care Register for Health Care provided by the Finnish National Institute for Health and Welfare. A total of 22 (39%) of the 57 subjects with PD had committed a crime. In women, the likelihood for violent criminality was significantly increased in those with Borderline PD (OR 6.09, CI 1.24-29.84, p=0.009) and was also associated with conduct disorder (OR 4.26, CI 1.38-13.19, p=0.012), child welfare placement (OR 11.82, CI 3.61-38.76, p<0.001) and parent's substance use disorder (OR 7.74, CI 2.30-26.10, p=0.001). In men, no association was observed between PD and any kind of criminal behaviour. Significant predictors for violent criminality in males were conduct disorder (OR 4.05, CI 1.75-9.38, p=0.001), substance use disorder (OR 2.51, CI 1.22-5.17, p=0.012) and special services at school (OR 2.58, CI 1.16-5.76, p=0.021). Females with Borderline PD showed an increased risk for violent offending. This suggests Borderline PD as a potential explanatory factor for violent assaults by females and highlights the importance of recognizing the risk for violence in young women with a Borderline PD.

Exploratory comparison of auditory verbal hallucinations and other psychotic symptoms among youth with borderline personality disorder or schizophrenia spectrum disorder

“…These results are partly consistent with Tschoeke et al's (2014) study that reported less severe delusions, conceptual disorganization and negative symptoms in adult patients with BPD, compared with patients with SZ. The higher hostility scores in the current youth BPD sample are consistent with inappropriate and intense anger being a core feature of this disorder that declines with age (Zanarini et al, 2007), as well as with evidence indicating that, in young people, BPD is a risk factor for perpetrating violence (Arola et al, 2016;González, Igoumenou, Kallis, & Coid, 2016).…”

Serious delinquency and later schizophrenia: A nationwide register-based follow-up study of Finnish pretrial 15- to 19-year-old offenders sent for a forensic psychiatric examination

“…Regarding non-psychotic disorders, research has revealed that between about half and two thirds of young offenders meet the diagnostic criteria for a conduct disorder, and between about a third and a half for a substance-use disorder [36,37]. Moreover, both antisocial [38] and borderline [39,40] personality disorders associate with criminality. Our delinquent sample considerably resembled these above-mentioned descriptions.…”

Architecture of Back Propagation Neural Network Model for Early Detection of Tendency to Type B Personality Disorders

“…A study by Danie Martin de Barros and Antonio de Pádua Serafim, stated that personality disorders of antisocial and borderline are highly predicted to make violence [3]. Research conducted by Riikka Arola et al, found that borderline personality disorder is a factor of violence attacks by women [4].…”