Evidence map›Paper›PMID 40719849›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2025

Experimental investigation of self-inflicted versus other-inflicted injury behaviour in individuals with borderline personality disorder.

Anna Görtz, Ardita Sulejmani, Nikolaus Kleindienst, Christian Schmahl, Marius Schmitz, Rolf-Detlef Treede, Ulf Baumgärtner

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Article in European archives of psychiatry and clinical neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Anna GörtzDepartment of Neurophysiology, Mannheim Center for Translational Neuroscience (MCTN), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. annadinges@freenet.de.ORCID http://orcid.org/0009-0001-3217-043X
Ardita SulejmaniDepartment of Neurophysiology, Mannheim Center for Translational Neuroscience (MCTN), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Nikolaus KleindienstDepartment of Psychosomatic Medicine and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, Heidelberg University, Mannheim, Germany.
Christian SchmahlDepartment of Psychosomatic Medicine and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, Heidelberg University, Mannheim, Germany.
Marius SchmitzDepartment of General Psychiatry, Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Germany.
Rolf-Detlef TreedeDepartment of Neurophysiology, Mannheim Center for Translational Neuroscience (MCTN), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Ulf BaumgärtnerDepartment of Neurophysiology, Mannheim Center for Translational Neuroscience (MCTN), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Funding

Deutsche Forschungsgesellschaft KFO 256, IP-6
6 · The paper itself

Abstract

introductionNon-suicidal self-injury (NSSI) is found in over 70% of patients with Borderline Personality Disorder (BPD). The most common method is cutting, which is often used to reduce high levels of aversive tension under stress. Recent studies have shown that pain during injury is a major factor reducing this stress. This report focuses on the question, whether the stress relieving effect of a sharp pain stimulus is different, when the patient herself is inflicting the stimulus on the forearm.

methods86 patients with BPD participated in this study. Stress was induced with a personalized script, followed by a non-invasive pain stimulus with a blunt blade, either self-inflicted or inflicted by the experimenter. Subjective (arousal, urge for NSSI, pain intensity) and objective (heart rate) parameters were measured to evaluate stress and pain. Group differences were analysed using hierarchical linear modelling.

resultsPain intensity, arousal and the urge for NSSI were similar under both conditions. The initial decrease in heart rate following the pain stimulus was significantly larger when the stimulus was applied by the experimenter and was delayed by a few minutes in the self-inflicted condition.

conclusionsIn this experimental setting, the perspective of pain application (self vs. other) had no differential influence on either NSSI, pain intensity, or stress level. The stronger initial decrease in heart rate in the other-inflicted group during the stimulus may be due to the lack of active physical involvement in the procedure, which could have delayed the decrease of heart rate in the self-inflicted group.

Indexed as

Borderline Personality DisorderPainSelf-Injurious BehaviorStress, PsychologicalAdultArousalFemaleHeart RateHumansMaleMiddle AgedPain MeasurementYoung AdultArousalBorderline personality disorderBPDHeart rateNon-suicidal self-injuryNSSIOther-inflictedPainSelf-inflictedUrge for NSSI

Identifiers

PMID40719849

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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.