The impact of borderline personality disorder and sub-threshold borderline personality disorder on the course of self-reported and clinician-rated depression in self-harming adolescents

Ramleth, Ruth-Kari; Grøholt, Berit; Diep, Lien My; Walby, Fredrik A.; Mehlum, Lars

doi:10.1186/s40479-017-0073-5

Cited by 14 publications

(10 citation statements)

References 72 publications

(52 reference statements)

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“…To investigate if age of onset and duration, uniquely and in interaction, are associated with frequency of NSSI and suicide attempts in an adolescent psychiatric population, it is essential to also consider other relevant factors. We know that factors such as history of sexual or physical abuse, [ 14 ], relationship with parents, [ 15 , 16 ], and borderline symptoms, [ 17 , 18 ], are strongly associated with both NSSI and suicide attempts, and age of onset. We also know that these factors are commonly observed in clinical adolescent populations [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Is age of self-harm onset associated with increased frequency of non-suicidal self-injury and suicide attempts in adolescent outpatients?

2022

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Background Self-harm in adolescents is an increasing public health concern and an important risk factor for suicide. We aimed to examine how age of self-harm onset in adolescents was associated with frequency of subsequent suicidal and non-suicidal self-harm (NSSI) episodes, and how age of onset and duration of self-harm may influence the frequency of self-harm. Methods Data from 103 adolescents with recurrent self-harm recruited from child and adolescent psychiatric outpatient clinics were collected through clinical interviews and self-reports, and analysed with negative binomial and hurdle models. Results A lower age of self-harm onset and a longer duration of self-harm were both significantly associated with increased frequency of subsequent episodes of NSSI and risk of a first suicide attempt. There was an increase in repeated suicide attempts when the age of onset of self-harm decreased and the duration increased, and dramatically more for long duration of NSSI before first suicide attempt. Conclusion Initiating self-harm behaviour at the youngest age had the highest risk of increased frequency of NSSI and suicide attempts. Longer duration of self-harm behaviour increased this risk. This underlines the importance of early identification of self-harm behaviour in adolescents, and the use of effective interventions.

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Section: Introductionmentioning

confidence: 99%

Is age of self-harm onset associated with increased frequency of non-suicidal self-injury and suicide attempts in adolescent outpatients?

2022

Self Cite

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“…This has been described in other studies, both in adolescent and adult sample populations, and it is accepted by the scientific community, especially regarding borderline personality disorder. It is also supposed to be the case with maladaptive personality traits, although there are no compelling data on these symptoms [31].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up

Alvarez-Subiela

Castellano-Tejedor

Verge-Muñoz³

et al. 2022

IJERPH

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Background: This study aims to identify the main predictive factors that allow for the recognition of adolescents with a higher risk of re-attempting suicide. Method: A longitudinal 12-month follow-up design was carried out in a sample of 533 Spanish adolescents between 12 and 17 years old. The data collection period comprised September 2013 to November 2016, including a one-year follow-up after hospital discharge. Results: A statistically significant regression model was obtained to predict suicide re-attempt at 12-months’ follow-up (χ2 = 34.843; p < 0.001; Nagelkerke R2 = 0.105), including personal history of self-injury (OR = 2.721, p < 0.001, 95% CI [1.706, 4.340]) and age (OR = 0.541, p = 0.009, 95% CI [0.340, 0.860]), correctly classifying 82.6% of the sample. Our results show that having a personal history of self-injury and being younger than 14 years old were predictors of suicide re-attempt during the first year after an adolescent’s first admission to emergency services. Conclusions: Considering these factors could contribute to the design of more tailored and effective interventions to prevent suicidal behavior in adolescents at high risk of re-attempting suicide.

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“…In this study, adolescents with full-syndrome BPD were compared with those with sub-threshold BPD. It was reported that adolescents with BPD had poorer treatment outcomes with higher levels of clinicianrated and self-reported depressive symptoms and lower levels of global functioning [11].…”

Section: Recent Evidence Regarding the Impact Of Pds On The Prognosis And Course Of Mddmentioning

confidence: 99%

Prognostic Significance of Personality Disorders in Patients with Major Depressive Disorder

Young

2020

Curr Treat Options Psych

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Purpose of Review Update the evidence regarding how co-occurring personality disorders influence treatment outcomes for major depressive disorder and update the evidence regarding treatment options for personality disorders that are co-occurring with major depressive disorder. Recent Findings There is evidence that personality disorders can be effectively treated through a variety of psychotherapeutic modalities. Given the substantial evidence that cooccurring personality disorders impede the recovery from major depressive disorder, comprehensively addressing any co-occurring personality disorders is an essential part of an effective treatment plan for patients with major depressive disorder. Personality disorders such as borderline personality disorder, which is commonly co-occurring with major depressive disorder, have several validated treatment options. Summary Since publication of past reviews on the topic, there have been multiple additional studies published to advance the discussion of the impact of personality disorders on treatment outcomes in major depression. There is now substantial evidence that personality disorders can negatively affect treatment outcomes in the setting of major depression, which is consistent with the clinical observation that co-occurring personality disorders need to be comprehensively addressed to achieve optimal outcomes for the individual. There also now exists substantial evidence that personality disorders can be effectively treated using several validated psychotherapeutic modalities. It is recommended that a comprehensive assessment, including assessment for co-occurring personality disorders, is implemented in all cases of major depressive disorder that have not been successfully treated. In those cases where a co-occurring personality disorder is identified, specific treatment for the personality disorder should be recommended.

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The impact of borderline personality disorder and sub-threshold borderline personality disorder on the course of self-reported and clinician-rated depression in self-harming adolescents

Cited by 14 publications

References 72 publications

Is age of self-harm onset associated with increased frequency of non-suicidal self-injury and suicide attempts in adolescent outpatients?

Is age of self-harm onset associated with increased frequency of non-suicidal self-injury and suicide attempts in adolescent outpatients?

Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up

Prognostic Significance of Personality Disorders in Patients with Major Depressive Disorder

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