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Cited by 170Personality Disorders and PsychopathologyChild and Adolescent Psychosocial and Emotional DevelopmentPsychoanalysis and Psychopathology Research

Borderline symptoms and suicidality/self-injury in late adolescence: prospectively observed relationship correlates in infancy and childhood

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Lyons-Ruth, Karlen, Bureau, Jean-Francois, Holmes, Bjarne, Easterbrooks, Ann, Brooks, Nancy Hall·2013·Psychiatry Research
DOI 10.1016/j.psychres.2012.09.030PMC PMC3605274
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Abstract

The primary objective was to assess whether prospectively observed quality of parent-child interaction in infancy and middle childhood contributed to the prediction of borderline symptoms and recurrent suicidality/self-injury in late adolescence. Adolescents (mean 19.9 years) from 56 families participating in a longitudinal study since infancy (retention rate 74%) were assessed on the SCID-II for symptoms of borderline personality disorder (BPD), including suicidality/self-injury. Early clinical risk was indexed by clinical referral to parent-infant services. Attachment security and parent-child interaction were assessed from videotape at 18 months and 8 years. Severity of childhood abuse was rated from interview and self-report measures. Maternal withdrawal in infancy was a significant predictor of both borderline symptoms and suicidality/self-injury in late adolescence. Disorganized controlling child behavior at age 8 contributed independently to the prediction of borderline symptoms. The effect of maternal withdrawal was independent of, and additive to, variability explained by severity of childhood abuse. Borderline symptoms and suicidality/self-injury may be preceded developmentally by disturbed interactions as early as 18 months of age. A parent-child transactional model is proposed to account for the findings.

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  • Disorganized attachment in infancy and middle childhood predicts BPD symptoms in adolescence and young adulthood.

    “Disorganized attachment in infancy and middle childhood has been found to subsequently predict BPD symptoms in adolescence and young adulthood [110].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [110]

    Results §3.2.3 reports that disorganized-controlling attachment behavior at age 8 predicted borderline symptoms at age 20. The infancy portion is not supported: Results §3.2.1 identifies maternal withdrawal, rather than infant attachment behavior, as a significant predictor, and §3.4 reports that neither tested subtype of infant disorganization predicted overall borderline symptoms. Page numbers are unavailable in our copy. (LLM, conf=0.91)

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  • Adult BPD may be preceded by BPD in adolescence, or by BPD-like symptoms that manifest earlier in childhood among adolescents and adults diagnosed with BPD.

    “Adult BPD also may be preceded by BPD in adolescence [194], or by BPD-like symptoms that manifest earlier in childhood among adolescents and adults diagnosed with BPD (e.g., self-harm; disorganized controlling behavior; regulatory problems) [110, 187, 191].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [110]

    The Results (section 3.2.3) report that disorganized-controlling behavior at age 8 predicted borderline symptoms at age 20, supporting the childhood-behavior example. The study assessed later symptoms or traits, not whether adults diagnosed with BPD had previously shown those behaviors or whether adolescent BPD preceded adult BPD. (LLM, conf=0.86)

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  • The validity of maternal AMBIANCE classification has been confirmed by meta-analysis for infant attachment disorganization and in individual studies for adolescent psychiatric outcomes.

    “Validity of maternal AMBIANCE classification has been confirmed by meta-analysis in relation to infant attachment disorganization (57) and, in individual studies, in relation to adolescent psychiatric outcomes (72, 75, 76).”

    From Disorganized attachment in infancy predicts greater amygdala volume in adulthood (2016) · cites this paper as [72]

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Research works printed but not linked: 2

  1. Fonagy P Gergely G Jurist EL Target M 2002 Affect regulation, mentalization and the development of the self Other Press New York
  2. Ross S Heath N 2002 A study of the frequency of self-mutilation in a community sample of adolescents Journal of Youth and Adolescence 31 67 77

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Authors
Lyons-Ruth, K., Bureau, J.-F., Holmes, B., Easterbrooks, A., & Brooks, N. H.
Affiliations
  • Harvard University (US)
  • Tufts University (US)
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2013-04
Volume
206
Issue
2-3
Pages
273-281
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2012.09.030
PMC
PMC3605274
OpenAlex
W2154870167
Cited by
170
References
89
Citations by year
2026: 7 · 2025: 12 · 2024: 9 · 2023: 12 · 2022: 11 · 2021: 18 · 2020: 14 · 2019: 10 · 2018: 18 · 2017: 13 · 2016: 15 · 2015: 19 · 2014: 8 · 2013: 4
FWCI
11.28
Type
journal article
Language
en
Open access
Licence
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders
  • Sid W. Richardson Foundation
  • Harvard University
  • National Institute of Mental Health (R01MH35122, R01MH062030, R01MH06030)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
borderline symptoms, suicidality, self-harm, late adolescence, parent-child interaction, attachment security, childhood abuse, infancy, middle childhood, transactional model, developmental prediction
MeSH terms
Adolescent, Borderline Personality Disorder, Child, Child Abuse, Female, Humans, Infant, Longitudinal Studies, Male, Mother-Child Relations, Object Attachment, Parent-Child Relations, Prospective Studies, Risk Factors, Cohort Studies, Linear Models, Logistic Models, Self-Injurious Behavior, Young Adult, Suicidal Ideation

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