Evidence map›Paper›PMID 27255770›Full record

ArticleBMC psychiatry2016

Borderline personality disorder and violence in the UK population: categorical and dimensional trait assessment.

Rafael A González, Artemis Igoumenou, Constantinos Kallis, Jeremy W Coid

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  15. Reseach progress in dual harm.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Review
  16. Article
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  18. Complex PTSD and borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Rafael A GonzálezCentre for Mental Health, Division of Brain Sciences, Department of Medicine, Imperial College, London, UK.
Artemis IgoumenouViolence Prevention Research Unit, Queen Mary University of London, London, UK. a.igoumenou@qmul.ac.uk.
Constantinos KallisViolence Prevention Research Unit, Queen Mary University of London, London, UK.
Jeremy W CoidViolence Prevention Research Unit, Queen Mary University of London, London, UK.
Queen Mary University of London · GBUniversity of Puerto Rico System · PR

Funding

Department of Health RP-PG-0407-10500
6 · The paper itself

Abstract

backgroundBorderline personality disorder (BPD) is characterised by difficulties with impulse control and affective dysregulation. It is unclear whether BPD contributes to the perpetration of violence or whether this is explained by comorbidity. We explored independent associations between categorical and dimensional representations of BPD and violence in the general population, and differential associations from individual BPD criteria.

methodsWe used a representative combined sample of 14,753 men and women from two British national surveys of adults (≥16 years). BPD was assessed using the Structured Clinical Interview II- Questionnaire. We measured self-reported violent behaviour in the past 5 years, including severity, victims and locations of incidents. Associations for binary, dimensional and trait-level exposures were performed using weighted logistic regression, adjusted for demography and comorbid psychopathology.

resultsCategorical diagnosis of BPD was associated only with intimate partner violence (IPV). Associations with serious violence leading to injuries and repetitive violence were better explained by comorbid substance misuse, anxiety and antisocial personality disorder (ASPD). However, anger and impulsivity BPD items were independently associated with most violent outcomes including severity, repetition and injury; suicidal behaviours and affective instability were not associated with violence. Both trait-level and severity-dimensional analyses showed that BPD symptoms might impact males and females differently in terms of violence.

conclusionsFor individuals diagnosed BPD, violence is better explained by comorbidity. However, BPD individual traits show different pathways to violence at the population level. Gender differences in BPD traits and their severity indicate distinct, underlying mechanisms towards violence. BPD and traits should be evaluated in perpetrators of IPV.

Indexed as

Impulsive BehaviorAdultAntisocial Personality DisorderBorderline Personality DisorderComorbidityFemaleHumansMaleMiddle AgedRisk FactorsSex FactorsSpouse AbuseSurveys and QuestionnairesViolenceYoung AdultAggressionBorderline personality disorderDimensionalIntimate partner violencePersonality disordersViolence

Identifiers

PMID27255770
PMCPMC4891918
OpenAlexW2410269968

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.