Characteristics of Suicide Attempts of Patients With Major Depressive Episode and Borderline Personality Disorder: A Comparative Study

Soloff, Paul H.; Lynch, Kevin G.; Kelly, Thomas M.; Malone, Kevin; Mann, J. John

doi:10.1176/appi.ajp.157.4.601

Cited by 381 publications

(276 citation statements)

References 38 publications

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“…However, it is important to note that literature in this area has been inconsistent. Many other studies have found a significant relationship between hopelessness and past suicide attempt status (Soloff et al, 2000;Rifai et al, 1994;Fawcett et al, 1987;Beck et al, 1985). This inconsistency may be due to differences in methodologies such as characteristics of the sample: clinical vs. non-clinical samples or differing psychiatric diagnoses of subjects.…”

Section: Discussionmentioning

confidence: 94%

The role of moral objections to suicide in the assessment of suicidal patients

Lizardi

Dervic

Grunebaum

et al. 2008

Journal of Psychiatric Research

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Section: Discussionmentioning

confidence: 94%

The role of moral objections to suicide in the assessment of suicidal patients

Lizardi

Dervic

Grunebaum

et al. 2008

Journal of Psychiatric Research

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“…Une recherche réalisée aux États-Unis auprès d'une population clinique adulte (Soloff, Lynch, Kelly, Malone, & Mann, 2000) révèle que la prévalence de tentative de suicide atteignait plus de 70 % chez les participants présentant un TPL. Ces derniers comptaient en moyenne trois tentatives de suicide antérieures au moment de leur inclusion dans l'étude.…”

Section: Conduites Suicidairesunclassified

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

Desrosiers

Saint-Jean

Laporte

2016

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Malgré une vaste littérature sur l’abandon de traitement en pédopsychiatrie, les connaissances sur cette problématique chez l’adolescent avec trouble de personnalité limite (TPL) demeurent peu développées. Les conséquences d’un arrêt prématuré du traitement sont sérieuses considérant la récurrence de leurs conduites suicidaires. Afin de comprendre les processus associés à l’instabilité du mode de consultation de ces adolescents, une méthode de théorisation ancrée constructiviste avec un devis de cas multiples a été utilisée. Trente-quatre entrevues auprès de trois groupes d’informateurs (adolescent, parent et clinicien) ont été réalisées. Un modèle explicatif des facteurs de risque d’abandon, mais aussi des conditions susceptibles de favoriser la poursuite du traitement a été élaboré. Il identifie les déterminants de l’abandon qui sont spécifiques aux adolescents avec TPL et décrit les processus par lesquels ceux-ci interfèrent avec la poursuite du traitement. Deux moments critiques ont été mis en évidence. Le premier survient au moment de l’offre de traitement. Il est déterminé par les capacités du dispositif de soins à profiter de l’impulsion de la demande d’aide pour engager l’adolescent et le parent en tenant compte de leurs vulnérabilités à l’abandon. Le deuxième moment critique survient en cours de traitement. Il est marqué par les capacités du dispositif de soins à adopter des mesures correctives lorsqu’apparaissent des complications d’engagement. Ces résultats mettent en évidence l’importance des réponses du dispositif de soins et suggèrent que l’engagement des adolescents avec TPL devrait constituer un objectif thérapeutique au même titre que la réduction de la symptomatologie et des problèmes de vie.

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“…Regarding reliability, we expected the four LPI scales to be internally consistent, as each subscale measures a unitary construct. Regarding validity, we expected the LPI would be moderately correlated with depression, demonstrating convergent validity; the LPI is intended to measure emotional dysregulation, which often presents with hopelessness and depression [27,28]. We also expected LPI scores to correlate moderately with suicidal ideation and suicide-related behaviors, as suicidal thinking and behavior are highly prevalent among individuals with BPD [27].…”

Section: The Lpimentioning

confidence: 99%

Psychometric Evaluation of the Life Problems Inventory, a Measure of Borderline Personality Features in Adolescents

Wagner¹

2015

J Psychol Psychother

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Objective: Dialectical Behavior Therapy (DBT), developed by Marsha Linehan for adults with suicidal behaviors and borderline personality disorder, has been successfully extended to adolescent populations. In addition, recent literature has discussed the wisdom of considering a diagnosis of borderline personality disorder (BPD) in teens under the age of 18. Linehan conceptualizes BPD as a disorder primarily of the emotion regulation system, and in particular, problems with regulation of emotions, impulses, relationships, and self. Thus, her skills training component of Dialectical Behavior Therapy (DBT) consists of modules targeting these problem areas: emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. Despite the proliferation of research supporting the efficacy of DBT, no measures specifically address the four core areas targeted in DBT skills training in adolescents. The Life Problems Inventory was developed to assess the four core BPD problem areas as described by Linehan and as targeted in DBT skills training. Method:The Life Problems Inventory, a 60-item self-report instrument, was developed to assess Emotion Dysregulation, Impulsivity, Interpersonal Chaos, and Confusion about Self. The present study evaluates the psychometric properties of this instrument examining internal consistency, convergent validity, and criterion validity in an adolescent outpatient population (N = 195). Results:The LPI was found to be internally consistent, to demonstrate convergent validity to related constructs, and to distinguish diagnostic samples. Conclusions:Findings from this work 1) contribute to the self-report assessment of BPD features in adolescents according to Linehan's conceptualization, and 2) demonstrate the psychometric properties of a clinical outcome measure for the skills training component of DBT.Keywords: Assessment; Adolescent; Borderline personality; Dialectical behavior therapy; Self-report ObjectiveDialectical Behavior Therapy (DBT) [1][2][3], is a comprehensive psychotherapy Linehan originally developed for women with Borderline Personality Disorder (BPD) who chronically display suicide-related behavior. Numerous randomized trials support its efficacy for reducing hospitalization days, treating suicidal behaviors and non-suicidal self-injury, reducing treatment drop-out, and addressing associated problems [4,5]. DBT has been successfully extended to many other populations with problems of dyregulated emotions and behaviors, including suicidal adolescents [6][7][8]. For adolescent populations, DBT has shown highly promising results for suicidal behaviors and ideation, non-suicidal self-injury (NSSI), and problems related to emotion regulation [9][10][11][12][13][14].In addition, recent literature has discussed the wisdom of considering borderline personality characteristics in teens under the age of 18. Miller, Muehlenkamp, and Jacobson [15], based on a review of the empirical literature, argue that a BPD diagnosis can be assigned to adolescents when criteria a...

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Characteristics of Suicide Attempts of Patients With Major Depressive Episode and Borderline Personality Disorder: A Comparative Study

Cited by 381 publications

References 38 publications

The role of moral objections to suicide in the assessment of suicidal patients

The role of moral objections to suicide in the assessment of suicidal patients

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

Psychometric Evaluation of the Life Problems Inventory, a Measure of Borderline Personality Features in Adolescents

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