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Cited by 43Personality Disorders and PsychopathologySuicide and Self-Harm StudiesBipolar Disorder and Treatment

Clinical features and psychiatric comorbidities of borderline personality disorder patients with versus without a history of suicide attempt

Sher, Leo, Fisher, Amanda M., Kelliher, Caitlin H., Penner, Justin D., Goodman, Marianne, Koenigsberg, Harold W., New, Antonia S., Siever, Larry J. +1 more·2016·Psychiatry Research
DOI 10.1016/j.psychres.2016.10.003
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Abstract

Patients with borderline personality disorder (BPD) are at high risk for suicidal behavior. However, many BPD patients do not engage in suicidal behavior. In this study, we compared clinical features of BPD patients with or without a history of suicide attempts and healthy volunteers. Compared with healthy volunteers, both BPD groups had higher Affective Lability Scale (ALS), ALS - Depression-Anxiety Subscale, Barratt Impulsivity Scale (BIS), and Lifetime History of Aggression (LHA) scores and were more likely to have a history of temper tantrums. BPD suicide attempters had higher ALS, ALS - Depression-Anxiety Subscale and LHA scores and were more likely to have a history of non-suicidal self-injury or temper tantrums compared to BPD non-attempters. Also, BPD suicide attempters were more likely to have a history of comorbid major depressive disorder and less likely to have comorbid narcissistic personality disorder (NPD) in comparison to BPD non-attempters. About 50% of study participants in each BPD group had a history of comorbid substance use disorder (SUD). Our study indicates that BPD patients with a history of suicide attempt are more aggressive, affectively dysregulated and less narcissistic than BPD suicide non-attempters.

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Authors
Sher, L., Fisher, A. M., Kelliher, C. H., Penner, J. D., Goodman, M., Koenigsberg, H. W., New, A. S., Siever, L. J., & Hazlett, E. A.
Affiliations
  • James J. Peters VA Medical Center (US)
  • Icahn School of Medicine at Mount Sinai (US)
Corresponding author
Sher, Leo
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2016-12
Volume
246
Pages
261-266
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2016.10.003
OpenAlex
W2529613763
Cited by
43
References
76
Citations by year
2026: 1 · 2025: 5 · 2024: 1 · 2023: 6 · 2022: 4 · 2021: 2 · 2020: 8 · 2019: 5 · 2018: 4 · 2017: 6 · 2014: 1
FWCI
6.69
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • VA Merit award (I01CX000609)
  • MIRECC
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
borderline personality disorder, suicide attempts, psychiatric comorbidity, emotional lability, impulsivity, aggression, non-suicidal self-injury, tantrums, major depressive disorder, narcissistic personality disorder, substance use disorders, emotional dysregulation
MeSH terms
Adult, Borderline Personality Disorder, Major Depressive Disorder, Female, Humans, Male, Suicide, Attempted, Comorbidity, Substance-Related Disorders, Young Adult

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