The PI 500: Long-Term Follow-up of Borderline Inpatients Meeting DSM-III Criteria I. Global Outcome

Stone, Michael H.; Hurt, Stephen W.; Stone, Daniel B.

doi:10.1521/pedi.1987.1.4.291

Cited by 93 publications

(57 citation statements)

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“…At the time of hospital admission, a patient's functioning might be expected to be at a low ebb with greater opportunities to improve as the acute precipitant of hospitalization resolves. Plakun et al (1985), Stone et al (1987), andMcGlashan (1986) report GAS scores in the mid to upper 60s for patients with BPD 15 years after hospitalization, compared with our essentially unchanged score of 53 after 2 years. It may be that more significant improvement in functioning in patients with BPD and other PDs comes only after many years.…”

Section: Discussionmentioning

confidence: 78%

Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive–compulsive personality disorder over two years

et al. 2004

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Background. A defining feature of personality disorder (PD) is an enduring pattern of inner experience and behavior that is stable over time. Follow-up and follow-along studies have shown considerable diagnostic instability of PDs, however, even over short intervals. What, then, about personality disorder is stable ? The purpose of this study was to determine the stability of impairment in psychosocial functioning in patients with four different PDs, in contrast to patients with major depressive disorder (MDD) and no PD, prospectively over a 2-year period.

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Section: Discussionmentioning

confidence: 78%

Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive–compulsive personality disorder over two years

et al. 2004

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“…Because unanticipated life events, losses, and disappointments can be devastating (especially for those contemplating suicide) a score on any scale will fall short of accurately predicting all suicidal behavior. In addition, we know that borderline patients with histories of self-mutilating behavior (clearly definable as parasuicidal) are at higher risk of killing themselves than non-self-mutilating borderline patients (Stone, Hurt, & Stone, 1987). It should therefore be obvious that confidence in using the S-CON to predict future suicidal behavior must be tempered with responsible caution.…”

Section: Discussionmentioning

confidence: 99%

The Rorschach Suicide Constellation: Assessing Various Degrees of Lethality

Fowler¹,

Piers²,

Hilsenroth³

et al. 2001

Journal of Personality Assessment

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In this article we examine the relation between the Rorschach Comprehensive System's Suicide Constellation (S-CON;Exner, 1993;Exner & Wiley, 1977) and lethality of suicide attempts during the course of patients' hospitalization at the Austen Riggs Center (Stockbridge, MA). Patient records were rated as nonsuicidal (n = 37), parasuicidal (n = 37), or near-lethal (n = 30) based on the presence and lethality of self-destructive acts. Diagnostic efficiency statistics utilizing a cutoff score of 7 or more positive indicators successfully predicted which patients would engage in nearlethal suicidal activity relative to parasuicidal patients (overall correct classification rate [OCC] = .79), nonsuicidal inpatients (OCC = .79), and college students (OCC = .89). Although these predictions were influenced by relatively high base rates in the hospital population (14.5%), base rate estimates were calculated for other hypothetical populations revealing different prediction estimates that should be considered when judging the relative efficacy of the S-CON. Logistic regression analysis revealed that an S-CON score of 7 or more was the sole predictor of near-lethal suicide attempts among 9 psychiatric and demographic variables.

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“…Several studies have now established that the longterm prognosis in BPD is significantly better than is often assumed and that the majority of patients improve over time (for review see Stone, 1993) . For example, Links et al (1998) found that 53% of patients followed-up for seven years no longer met diagnostic criteria for BPD.…”

Section: Long-term Outcomementioning

confidence: 99%

Recent developments in borderline personality disorder

Winston¹

2000

Adv. psychiatr. treat

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Patients with borderline personality disorder (BPD; known in ICD–10 (World Health Organization, 1992) as emotionally unstable personality disorder) pose some of the most difficult management problems facing the clinical psychiatrist. They frequently present in crisis, but are often difficult to engage in any form of treatment. Their behaviour causes considerable anxiety but their ambivalence about treatment often leaves professionals feeling frustrated and resentful. These feelings can all too easily be transformed into therapeutic nihilism. As well as being a significant problem in its own right, comorbid personality disturbance complicates the management of other psychiatric disorders and has a negative effect on their prognosis (Reich & Vasile, 1993).

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The PI 500: Long-Term Follow-up of Borderline Inpatients Meeting DSM-III Criteria I. Global Outcome

Cited by 93 publications

References 0 publications

Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive–compulsive personality disorder over two years

Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive–compulsive personality disorder over two years

The Rorschach Suicide Constellation: Assessing Various Degrees of Lethality

Recent developments in borderline personality disorder

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