ReviewFrontiers in psychiatry2023
The diagnosis that should speak its name: why it is ethically right to diagnose and treat personality disorder during adolescence.
Review in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07450105 (Intensive Dialectical Behavior Therapy for Self-Harm and Suicidal Behavior in Youth), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Intensive Dialectical Behavior Therapy for Self-Harm and Suicidal Behavior in Youth: A Pilot Study
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- The Impact of Psychological Interventions on Functioning in the Context of Borderline Personality Disorder Features for Adolescents and Young Adults: A Systematic Review and Meta-Analysis.Early intervention in psychiatry · 2026Pooled it
- Borderline Personality Disorder in South Korea: A Narrative Review of Clinical Research and Future Directions.Yonsei medical journal · 2026Review
- Psychological, social and pharmacological prevention and interventions for young people with emerging, subthreshold or diagnosed personality disorders: A systematic review.European child & adolescent psychiatry · 2026Review
- Personality functioning improvements in adolescents from an early intervention clinic for personality disorders.European child & adolescent psychiatry · 2026Article
- Implementation and outcomes of a brief crisis intervention for adolescents with borderline personality features: a pre-post observational study.BMC psychiatry · 2026Observational
- Parent-child discrepancies in reports of pre- and early adolescent level of personality functioning.Frontiers in psychiatry · 2026Article
- Improvement of personality functioning in patients with personality disorders: a comparative study of mentalization-based treatment versus non-manualized treatments.Frontiers in psychiatry · 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
- Psychosocial functioning in personality disorders.Borderline personality disorder and emotion dysregulation · 2025Review
- Borderline personality: revisiting its classification as a neurodevelopmental disorder.Frontiers in psychiatry · 2025Review
- Children and adolescents at risk for seclusion and restraint in inpatient psychiatric treatment: a case control study.Child and adolescent psychiatry and mental health · 2024Article
- The evaluation of a stepped care approach for early intervention of borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2024Article
- Article
- Personality Disorder and Adolescents-Still Living on a Shoestring?Children (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although national guidelines explicitly state that personality disorder can be diagnosed and treated in young people aged 12 to 18 years (adolescents), most clinicians remain hesitant. This creates a gap between science and practice, which we argue is largely motivated by moral reasons and, therefore, is best challenged by ethical arguments. We provide seven arguments in support of the notion that it is ethically right to diagnose and treat personality disorder when it occurs in adolescents. Central to these arguments is the scientific evidence that features of personality disorder are among the best predictors of a complex cluster of psychopathology leading to impairments in many areas of current and future mental, social and vocational functioning. We argue that intervention during adolescence and young adulthood is not only humane, but also critical for efforts to avert the longstanding psychosocial and health problems that seem refractory to treatment in adults with personality disorder. Moreover, we argue that regular services are often inadequately equipped to meet the needs of young people with personality disorder and that the common 'stepped-care' approach should be replaced by a 'staged-care' approach. Finally, we argue that early detection and intervention might have anti-stigmatizing effects, similar to other areas of healthcare in which stigmatizing labels have changed meaning when the conditions to which they refer have become more amenable to treatment.
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Registered trials
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.