Suicidality and Personality Disorders in Adolescence

Braun-Scharm, Hellmuth

doi:10.1027/0227-5910.17.2.64

Cited by 17 publications

(7 citation statements)

References 13 publications

(10 reference statements)

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“…Both studies also suggest that treatments may be effective within a relatively short time span. More research on effective treatments for this group of patients is warranted because adolescents with PDs are at greater risk for having a broad range of problems than adolescents without PDs [4,8,9,15-17]. Furthermore, these adolescents have a greater risk of developing problems in adulthood [18-20].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of personality disorders in adolescents: a study among psychologists

Laurenssen

Hutsebaut

Feenstra

et al. 2013

Child Adolesc Psychiatry Ment Health

111

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BackgroundRecent guidelines concerning the treatment of personality disorders (PDs) recommend diagnosing PDs in adolescents. However, it remains unclear whether these guidelines influence the current opinions and practices of mental health care professionals.MethodsFive hundred sixty-six psychologists completed an online survey concerning PDs in adolescents, of whom 367 professionals reported working with adolescents. The survey contained demographical questions (age, gender, profession, work setting) and specific questions related to PD in adolescence.ResultsAlthough a majority of psychologists working with adolescents acknowledged the existence of PDs in adolescents (57.8%), only a small minority diagnoses PDs in adolescence (8.7%) and offers a treatment specifically aimed at targeting PD pathology (6.5%). Reasons for not diagnosing PDs in adolescence mainly concerned the belief that adolescent personality problems are transient (41.2%) and that the DSM-IV-TR does not allow diagnosing PDs in adolescence (25.9%).ConclusionsAlthough practice guidelines might have influenced clinicians’ opinions about PDs in adolescence, they have had little impact so far on routine clinical practice.

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Section: Discussionmentioning

confidence: 99%

Diagnosis of personality disorders in adolescents: a study among psychologists

Laurenssen

Hutsebaut

Feenstra

et al. 2013

Child Adolesc Psychiatry Ment Health

111

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“…A 6.5-year follow-up study reported that frustration intolerance positively predicted the severity of depressive symptoms [42]. Research also revealed that frustration intolerance is a crucial personality trait in adolescents with suicidal behavior [43]. Hostility denotes an emotional and expressive characteristic that indicates the potential intent to be aggressive toward and assault others [44].…”

Section: Relationships Of Frustration Intolerance and Hostility With Depression And Suicidality In Adolescents With Adhdmentioning

confidence: 99%

Self-Reported Depressive Symptoms and Suicidality in Adolescents with Attention-Deficit/Hyperactivity Disorder: Roles of Bullying Involvement, Frustration Intolerance, and Hostility

Liu

Hsiao

Chou

2021

IJERPH

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This study examined the relationships of cyberbullying and traditional bullying victimization and perpetration, perceived family function, frustration discomfort, and hostility with self-reported depressive symptoms and suicidality in adolescents diagnosed as having attention-deficit/hyperactivity disorder (ADHD). Both the self-reported severity of depressive symptoms on the Center for Epidemiological Studies Depression Scale and the occurrence of suicidal ideation or a suicide attempt on the suicidality module of the Kiddie Schedule for Affective Disorders and Schizophrenia were assessed in 195 adolescents with ADHD. The adolescents completed the Cyberbullying Experiences Questionnaire, Chinese version of the School Bullying Experience Questionnaire, Frustration–Discomfort Scale, Buss–Durkee Hostility Inventory, and Family APGAR Index. Caregivers completed the ADHD problems component of the Child Behavior Checklist for Ages 6–18. Multiple regression analyses were used to examine the correlates for each of self-reported depressive symptoms and suicidality. The results showed that after the effects of gender, age, ADHD symptoms, and family function were controlled, greater frustration discomfort and bullying perpetration significantly predicted self-reported depressive symptoms. Being cyberbullying victims and displaying hostility significantly predicted the risk of suicidality. Various types of bullying involvement, frustration intolerance, and hostility significantly predicted self-reported depressive symptoms and suicidality in adolescents with ADHD. By monitoring and intervening in these factors, we can reduce the risk of depression-related problems and suicidality in adolescents with ADHD.

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“…Nevertheless, recent studies have shown that PDs are common in adolescents (see, for example, Feenstra, Busschbach, Verheul, & Hutsebaut, ; Grilo et al, ; Johnson et al, ; Westen, Shedler, Durett, Glass, & Martens, ). An effective treatment for this group of patients is warranted because adolescents with PDs are at a greater risk for having a broad range of problems than adolescents without PDs (see, for example, Braun‐Scharm, ; Johnson et al, ; Kasen et al, ; Lavan & Johnson, ; Serman, Johnson, Geller, Kanost, & Zacharapoulou, ; Westen et al, ). Furthermore, these adolescents also have a greater risk of developing problems in adulthood (Chen, Cohen, Kasen, & Johnson, ; Daley et al, ; Daley, Rizzo, & Gunderson, ; Johnson, Chen, & Cohen, ; Johnson et al, ; Johnson et al, ; Levy et al, ).…”

Section: Introductionmentioning

confidence: 99%

Predictors of treatment outcome of Inpatient Psychotherapy for Adolescents with personality pathology

Feenstra

Laurenssen

Hutsebaut

et al. 2013

Personality & Mental Health

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Little is known about the effectiveness of treatment programmes for personality disordered adolescents. This study investigates the treatment outcome of Inpatient Psychotherapy for Adolescents (IPA), i.e. an intensive programme for treatment refractory adolescents with personality pathology. In addition, this study examines predictors of treatment outcome. One hundred and nine adolescents admitted for treatment of their personality problems were followed up during their stay in IPA. Axis I and Axis II disorders were measured using semi-structured interviews, and the adolescents completed several questionnaires to measure symptom severity (global indices of distress), personality styles and functioning, and quality of life at both start and 12 months after start of treatment. Patients showed improvement in level of symptom severity, personality functioning and quality of life (d ranging from 0.49 to 0.97). As for level of symptom severity, 29% of the adolescents moved into a normative range of symptom severity. Higher levels of self-criticism significantly predicted poorer outcome in terms of symptom severity. Type of personality disorder did not predict treatment outcome. IPA is a potentially effective treatment programme for (a subgroup of) treatment refractory adolescents with personality pathology.

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Suicidality and Personality Disorders in Adolescence

Cited by 17 publications

References 13 publications

Diagnosis of personality disorders in adolescents: a study among psychologists

Diagnosis of personality disorders in adolescents: a study among psychologists

Self-Reported Depressive Symptoms and Suicidality in Adolescents with Attention-Deficit/Hyperactivity Disorder: Roles of Bullying Involvement, Frustration Intolerance, and Hostility

Predictors of treatment outcome of Inpatient Psychotherapy for Adolescents with personality pathology

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