ArticleBMC psychiatry2020
Borderline personality disorder and prior suicide attempts define a severity gradient among hospitalized adolescent suicide attempters.
Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- A meta-analysis of co-occurrence of non-suicidal self-injury and suicide attempt: Implications for clinical intervention and future diagnosis.Frontiers in psychiatry · 2022Pooled it
- Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research.Frontiers in digital health · 2022Pooled it
- The Moderating and Mediating Role of Psychological Resilience in the Relationship Between Borderline Personality Symptoms and Suicidal Ideation Among University Students.European journal of investigation in health, psychology and education · 2026Article
- Research Review: What we have learned about early detection and intervention of borderline personality disorder.Journal of child psychology and psychiatry, and allied disciplines · 2025Review
- Age of onset of self-harm in children and adolescents: a scoping review.Child and adolescent psychiatry and mental health · 2025Review
- Sex differences in personality dysfunction in help-seeking adolescents.Borderline personality disorder and emotion dysregulation · 2025Article
- Risk Factors for Suicide among Adolescents in Bangka Belitung Island, Indonesia: a Qualitative Study Approach.Acta medica Philippina · 2025Article
- The relationship between mood disorders, personality disorder and suicidality in adolescence: does general personality disturbance play a significant role in predicting suicidal behavior?Borderline personality disorder and emotion dysregulation · 2023Article
- Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions.Journal of clinical medicine · 2023Review
- Associations Between Early Life Adversity, Reproduction-Oriented Life Strategy, and Borderline Personality Disorder.JAMA psychiatry · 2023Article
- Effectiveness of online integrative trans-diagnostic treatment on internet addiction and high-risk behaviors in female adolescents with borderline personality disorder with comorbid depressive disorder.Frontiers in psychiatry · 2023Article
- Examining the Construct Validity of Borderline Personality Traits Using Familial Aggregation and Other External Validators.Journal of personality disorders · 2022Article
- Buffering Effect of Perseverance and Meditation on Depression among Medical Students Experiencing Negative Family Climate.Healthcare (Basel, Switzerland) · 2022Article
- Is age of self-harm onset associated with increased frequency of non-suicidal self-injury and suicide attempts in adolescent outpatients?BMC psychiatry · 2022Article
- Article
- The Cognitive, Ecological, and Developmental Origins of Self-Disturbance in Borderline Personality Disorder.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBorderline personality disorder (BPD) and history of prior suicide attempt (SA) have been shown to be high predictors for subsequent suicide. However, no previous study has examined how both factors interact to modify clinical and suicide severity among adolescents.
methodsThis study presents a comprehensive assessment of 302 adolescents (265 girls, mean age = 14.7 years) hospitalized after a SA. To test clinical interactions between BPD and history of prior SA, the sample was divided into single attempters without BPD (non-BPD-SA, N = 80), single attempters with BPD (BPD-SA, N = 127) and multiple attempters with BPD (BPD-MA, N = 95).
resultsUnivariate analyses revealed a severity gradient among the 3 groups with an additive effect of BPD on the clinical and suicide severity already conferred by a history of SA. This gradient encompassed categorical (anxiety and conduct disorders and non-suicidal-self-injury [NSSI]) and dimensional comorbidities (substance use and depression severity) and suicide characteristics (age at first SA). According to regression analyses, the BPD-MA group that was associated with the most severe clinical presentation also showed specific features: the first SA at a younger age and a higher prevalence of non-suicidal self-injury (NSSI) and anxiety disorders. The BPD-MA group was not associated with higher impulsivity or frequency of negative life events.
conclusionsBased on these findings and to improve youth suicide prevention, future studies should systematically consider BPD and the efficacy of reinforcing early interventions for anxiety disorders and NSSI.
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