Comparison of hospital-treated personality disorders and personality disorders in a general population sample

Kantojärvi, Liisa; Veijola, Juha; Läksy, Kristian; Jokelainen, Jari; Herva, Anne; Karvonen, Juha T.; Kokkonen, Pirkko; Järvelin, Marjo‐Riitta; Joukamaa, Matti

doi:10.1080/08039480410005909

Cited by 15 publications

(11 citation statements)

References 19 publications

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“…Less serious cases remain unidentified, and the results may thus generalize only to the most serious forms of personality disorders. A previous Finnish study compared hospitalized cases with personality disorders to personality disorders in the general population and found that while cluster C personality disorders constitute almost half of the cases with personality disorders in the general population, they are much less common among hospitalized subjects, among whom cluster B disorders are the most prevalent personality disorders (Kantojärvi et al, 2004). We also found here that among hospitalized cases, dramatic cluster personality disorders were the most numerous.…”

Section: Discussionsupporting

confidence: 72%

Temporary Separation from Parents in Early Childhood and Serious Personality Disorders in Adult Life

Lahti

Pesonen²,

Räikkönen

et al. 2012

Journal of Personality Disorders

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We have previously shown that the temporary separation of Finnish children from both parents during World War II predicted any serious mental, substance use, and personality disorders in adulthood. Here we examine if parental separation is a specific vulnerability factor for any- and dramatic personality disorders relative to other mental disorders. We extracted information on separations from the Finnish National Archives and psychiatric diagnoses from the national Hospital Discharge and Causes of Death-Registers. Of the 12,734 Helsinki Birth Cohort Study participants, 1,717 were separated, 1,487 had any mental, 194 any personality, and 77 dramatic personality disorders. In those who were separated, the risk of any serious personality disorders was significantly higher also among individuals with any serious mental disorders. The increased risks of any serious and dramatic personality disorders were particularly characteristic of individuals separated before the age of five, and that of dramatic personality disorder of separated men. Parental separation may thus be a specific vulnerability factor for serious personality disorders.

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Section: Discussionsupporting

confidence: 72%

Temporary Separation from Parents in Early Childhood and Serious Personality Disorders in Adult Life

Lahti

Pesonen²,

Räikkönen

et al. 2012

Journal of Personality Disorders

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“…In our study, the observed gender difference in death rates of drivers with PD may also be explained by fact that half of the deceased female drivers were diagnosed hospital‐treated borderline PD. In a previous Finnish study among a population‐based sample, using SCID‐II‐interview, a statistically significant gender difference was only observed in the case of antisocial PD, which was more common among males than females. Our findings indicate that PDs may predispose drivers to FMVAs, particularly in females.…”

Section: Discussionmentioning

confidence: 78%

Personality disorders of drivers killed in fatal motor vehicle accidents in Finland during 1990–2011

Räisänen

Hakko

Riipinen

et al. 2019

Acta Psychiatr Scand

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Objective: To examine the association of personality disorders (PDs) to deaths of drivers in fatal motor vehicle accidents (FMVAs) and analyze gender differences in lifetime psychiatric disorders and medico-legal findings at the time of accident. Method: The study sample consisted of 4810 Finnish drivers killed in FMVAs in Finland between 1990 and 2011. Doctor-diagnosed PD was found in 146 drivers (118 men and 28 women). The information of psychiatric morbidity was obtained from the Finnish Care Register for Health Care. Results: The proportion of deceased drivers with PDs had increased significantly over the study period, particularly among females and those with PD not otherwise specified (NOS). Suicidality and use of medication affecting driving ability were more common among females with PD compared to males with PD. 88% of all deceased drivers with PD had comorbid psychiatric disorders. Conclusion: Our findings indicate that PDs may predispose drivers to FMVAs, particularly females. This study emphasizes the importance of evaluating the fitness-to-drive of subjects with PD and especially comorbid substance use disorders, which may relate to an increased risk of fatal motor accidents. Significant outcomes• In Finland, the proportion of deceased drivers with hospital-treated personality disorders (PDs) has significantly increased during the years 1990 to 2011.• The increase was emphasized in female drivers with PD. • Suicidality and medication use were more common among female drivers with PD. Limitations• Personality disorders (PDs) are underestimated in register-based data.• This study lacks of alive control population with PD.

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“…Additionally, it is a clinical practice in Finland that borderline personality disorder (BPD) and other personality disorders are not usually diagnosed under the age of 18. However, BPD might act as mediating factor between bullying and suicidal behavior in girls, as BPD, which is more common among females than among males in clinical samples [19,20] , has been shown to be related with suicidal behavior [21,22] .…”

Section: Discussionmentioning

confidence: 99%

Bullying Behavior Is Related to Suicide Attempts but Not to Self-Mutilation among Psychiatric Inpatient Adolescents

Luukkonen¹,

Räsänen²,

Hakko³

et al. 2009

Psychopathology

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Background: To investigate the association of bullying behavior with suicide attempts and self-mutilation among adolescents. Sampling andMethods: The study sample consisted of 508 Finnish adolescents (age 12–17 years) admitted to psychiatric inpatient care between April 2001 and March 2006. DSM-IV psychiatric diagnoses and variables measuring suicidal behavior (i.e. suicide attempts and self-mutilation) and bullying behavior (i.e. a victim, a bully or a bully-victim) were obtained from the Schedule for Affective Disorder and Schizophrenia for School-Age Children Present and Lifetime (K-SADS-PL). Logistic regression analyses were conducted to examine the impact of being a victim, a bully or both a bully and a victim on suicide attempts and self-mutilation. Results: After adjusting for age, school factors, family factors and psychiatric disorders, there was a higher risk of suicide attempts in girls who were victims of bullying (OR = 2.07, CI = 1.04–4.11, p = 0.037) or who bullied others (OR = 3.27, CI = 1.08–9.95, p = 0.037). Corresponding associations were not found for boys; nor was any association of bullying behavior with self-mutilation found among either sex. Conclusions: Among girls, being bullied or bullying others are both potential risk factors for suicidal behavior. Psychiatric assessment and treatment should thus be considered not only for victims of bullying, but also for bullies. Suicide-prevention programs should also routinely include interventions to reduce bullying. However, the generalization of our findings to all adolescents is limited because our study sample consisted of psychiatric adolescent patients. In addition, some of the possible findings might have remained statistically insignificant due to the small sample size among adolescents who had performed suicide attempts or self-mutilation.

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Comparison of hospital-treated personality disorders and personality disorders in a general population sample

Cited by 15 publications

References 19 publications

Temporary Separation from Parents in Early Childhood and Serious Personality Disorders in Adult Life

Temporary Separation from Parents in Early Childhood and Serious Personality Disorders in Adult Life

Personality disorders of drivers killed in fatal motor vehicle accidents in Finland during 1990–2011

Bullying Behavior Is Related to Suicide Attempts but Not to Self-Mutilation among Psychiatric Inpatient Adolescents

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