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Predictors of suicide attempts in patients with borderline personality disorder over 16 years of prospective follow-up
Open accessAbstract
BACKGROUND: It is clinically important to understand the factors that increase the likelihood of the frequent and recurrent suicide attempts seen in those with borderline personality disorder (BPD). Although several studies have examined this subject in a cross-sectional manner, the aim of this study was to determine the most clinically relevant baseline and time-varying predictors of suicide attempts over 16 years of prospective follow-up among patients with BPD. METHOD: Two-hundred and ninety in-patients meeting Revised Diagnostic Interview for Borderlines (DIB-R) and DSM-III-R criteria for BPD were assessed during their index admission using a series of semistructured interviews and self-report measures. These subjects were then reassessed using the same instruments every 2 years. The generalized estimating equations (GEE) approach was used to model the odds of suicide attempts in longitudinal analyses, controlling for assessment period, yielding an odds ratio (OR) and 95% confidence interval (CI) for each predictor. RESULTS: Nineteen variables were found to be significant bivariate predictors of suicide attempts. Eight of these, seven of which were time-varying, remained significant in multivariate analyses: diagnosis of major depressive disorder (MDD), substance use disorder (SUD), post-traumatic stress disorder (PTSD), presence of self-harm, adult sexual assault, having a caretaker who has completed suicide, affective instability, and more severe dissociation. CONCLUSIONS: The results of this study suggest that prediction of suicide attempts among borderline patients is complex, involving co-occurring disorders, co-occurring symptoms of BPD (self-harm, affective reactivity and dissociation), adult adversity, and a family history of completed suicide.
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“Taken together, this constellation of co-occurring problems appears to be particularly intractable, with PTSD predicting a lower likelihood of remitting from BPD and a higher likelihood of attempting suicide among individuals with BPD across 10 to 16 years of naturalistic follow-up (Zanarini, Frankenburg, Hennen, Reich, & Silk, 2006; Wedig et al., 2012).”
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“Taken together, this constellation of co-occurring problems appears to be particularly intractable, with PTSD predicting a lower likelihood of remitting from BPD and a higher likelihood of attempting suicide among individuals with BPD across 10 to 16 years of naturalistic follow-up (Zanarini, Frankenburg, Hennen, Reich, & Silk, 2006; Wedig et al., 2012).”
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Cites
The Structured Clinical Interview for DSM-III-R (SCID): I: History, Rationale, and Description
Spitzer, R. L. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820080032005 · Cited by 4,336
Development, reliability, and validity of a dissociation scale
BERNSTEIN, E. M., & PUTNAM, F. W. (1986) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198612000-00004 · Cited by 3,793 · cited 1×
“The DES has been found to have good test–retest (r=0.84) and split-half reliability (r=0.71–0.96) (Bernstein & Putnam, 1986).”
InfluentialCross-national prevalence and risk factors for suicidal ideation, plans and attempts
Nock, M. K., Borges, G., Bromet, E. J., Alonso, J., Angermeyer, M., Beautrais, A., Bruffaerts, R., Chiu, W. T., de Girolamo, G., Gluzman, S., et al. (2008) · British Journal of Psychiatry · doi:10.1192/bjp.bp.107.040113 · Cited by 2,654
Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts
NOCK, M., JOINERJR, T., GORDON, K., LLOYDRICHARDSON, E., & PRINSTEIN, M. (2006) · Psychiatry Research · doi:10.1016/j.psychres.2006.05.010 · Cited by 1,617
Review: Suicide and schizophrenia: a systematic review of rates and risk factors
Hor, K., & Taylor, M. (2010) · Journal of Psychopharmacology · doi:10.1177/1359786810385490 · Cited by 853
Borges, G., Nock, M. K., Haro Abad, J. M., Hwang, I., Sampson, N. A., Alonso, J., Andrade, L. H., Angermeyer, M. C., Beautrais, A., Bromet, E., et al. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04967blu · Cited by 796
Zanarini, M. C., Williams, A. A., Lewis, R. E., Reich, R., Vera, S. C., Marino, M. F., Levin, A., Yong, L., & Frankenburg, F. R. (1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.8.1101 · Cited by 717
Self-citationZanarini, M. C., Frankenburg, F. R., Hennen, J. A., & Silk, K. R. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.2.274 · Cited by 687
Self-citationFamily genetic studies, suicide, and suicidal behavior
Brent, D. A., & Mann, J. J. (2005) · American Journal of Medical Genetics Part C Seminars in Medical Genetics · doi:10.1002/ajmg.c.30042 · Cited by 618
The Revised Diagnostic Interview for Borderlines: Discriminating BPD from other Axis II Disorders
Zanarini, M. C., Gunderson, J. G., Frankenburg, F. R., & Chauncey, D. L. (1989) · Journal of Personality Disorders · doi:10.1521/pedi.1989.3.1.10 · Cited by 596
Self-citationPrevalence of suicide ideation and suicide attempts in nine countries
Weissman, M. M., Bland, R. C., CANINO, G. J., Greenwald, S., Hwu, H., Joyce, P. R., Karam, E. G., Lee, C.-Y., Lellouch, J., Lépine, J., et al. (1999) · Psychological Medicine · doi:10.1017/s0033291798007867 · Cited by 583
Black, D. W., Blum, N., Pfohl, B., & Hale, N. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.3.226.35445 · Cited by 522
Soloff, P. H., Lynch, K. G., Kelly, T. M., Malone, K. M., & Mann, J. J. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.4.601 · Cited by 456
Borderline Personality Disorder: A Clinical Guide
Stern, R. M. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.3.610 · Cited by 444
Borderline Personality Disorder: A Clinical Guide
Gunderson, J. G., & Links, P. S. (1984) · Cited by 388
Zanarini, M. C., & Frankenburg, F. R. (2001) · Comprehensive Psychiatry · doi:10.1053/comp.2001.24556 · Cited by 384
Self-citationPrevalence and predictors of persistent suicide ideation, plans, and attempts during college
Wilcox, H. C., Arria, A. M., Caldeira, K. M., Vincent, K. B., Pinchevsky, G. M., & O’Grady, K. E. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.04.017 · Cited by 370
Borges, G., Angst, J., Nock, M. K., Ruscio, A. M., & Kessler, R. C. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.01.036 · Cited by 334 · cited 2×
“Given the considerable role of MDD in predicting suicide attempts more generally (Borges et al. 2008; Wilcox et al. 2010) and the large role that dysphoric mood plays in BPD (Zanarini et al. 1998), this predictor makes clinical sense.”
Pagura, J., Stein, M. B., Bolton, J. M., Cox, B. J., Grant, B., & Sareen, J. (2010) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2010.04.016 · Cited by 330
Familial Transmission of Suicidal Behavior
Brent, D. A., & Melhem, N. (2008) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2008.02.001 · Cited by 329
Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2005) · Journal of Personality Disorders · doi:10.1521/pedi.2005.19.5.505 · Cited by 322
Self-citationCharacteristics of Borderline Personality Disorder Associated With Suicidal Behavior
Brodsky, B. S., Malone, K. M., Ellis, S. P., Dulit, R. A., & Mann, J. J. (1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.12.1715 · Cited by 297
Oquendo, M. A., Currier, D., & Mann, J. J. (2006) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2006.00829.x · Cited by 297
The diagnostic interview for personality disorders: Interrater and test-retest reliability
Zanarini, M. C., Frankenburg, F. R., Chauncey, D. L., & Gunderson, J. G. (1987) · Comprehensive Psychiatry · doi:10.1016/0010-440x(87)90012-5 · Cited by 296
Self-citationBorderline Personality Disorder Criteria Associated With Prospectively Observed Suicidal Behavior
Yen, S., Shea, M. T., Sanislow, C. A., Grilo, C. M., Skodol, A. E., Gunderson, J. G., McGlashan, T. H., Zanarini, M. C., & Morey, L. C. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.7.1296 · Cited by 270
Self-citationZanarini, M. C., Frankenburg, F. R., Reich, D. B., Fitzmaurice, G. M., Weinberg, I., & Gunderson, J. G. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01155.x · Cited by 245
Self-citationInterpersonal Precipitants and Suicide Attempts in Borderline Personality Disorder
Brodsky, B. S., Groves, S. A., Oquendo, M. A., Mann, J. J., & Stanley, B. (2006) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2006.36.3.313 · Cited by 205
The Pain of Being Borderline: Dysphoric States Specific to Borderline Personality Disorder
Zanarini, M. C., Frankenburg, F. R., DeLuca, C. J., Hennen, J., Khera, G. S., & Gunderson, J. G. (1998) · Harvard Review of Psychiatry · doi:10.3109/10673229809000330 · Cited by 197 · cited 2×
“Given the considerable role of MDD in predicting suicide attempts more generally (Borges et al. 2008; Wilcox et al. 2010) and the large role that dysphoric mood plays in BPD (Zanarini et al. 1998), this predictor makes clinical sense.”
Self-citationInter-Rater and Test-Retest Reliability of the Revised Diagnostic Interview for Borderlines
Zanarini, M. C., Frankenburg, F. R., & Vujanovic, A. A. (2002) · Journal of Personality Disorders · doi:10.1521/pedi.16.3.270.22538 · Cited by 180
Self-citationDissociative symptoms are positively related to stress in borderline personality disorder
Stiglmayr, C. E., Ebner‐Priemer, U. W., Bretz, J., Behm, R., Mohse, M., Lammers, C. ‐., Anghelescu, I. ‐., Schmahl, C., Schlotz, W., Kleindienst, N., et al. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2007.01126.x · Cited by 177
Risk Factors for Suicide Completion in Borderline Personality Disorder
McGirr, A., Paris, J., LESAGE, A. D., Phil, M., Renaud, J., & Turecki, G. (2007) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v68n0509 · Cited by 168
Reported Childhood Onset of Self-Mutilation Among Borderline Patients
Zanarini, M. C., Frankenburg, F. R., Ridolfi, M. E., Jager-Hyman, S., Hennen, J., & Gunderson, J. G. (2006) · Journal of Personality Disorders · doi:10.1521/pedi.2006.20.1.9 · Cited by 165
Self-citationImpulsivity, aggression and suicidal behavior in unipolar and bipolar disorders
Perroud, N. A., Baud, P., Mouthon, D., Courtet, P., & Malafosse, A. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.05.048 · Cited by 157
Personality traits as prospective predictors of suicide attempts
Yen, S., Shea, M. T., Sanislow, C. A., Skodol, A. E., Grilo, C. M., Edelen, M. O., Stout, R. L., Morey, L. C., Zanarini, M. C., Markowitz, J. C., et al. (2009) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2009.01366.x · Cited by 126
Self-citationHörz, S., Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2010) · Psychiatric Services · doi:10.1176/ps.2010.61.6.612 · Cited by 118
Self-citationSuicide attempts in patients with borderline personality disorder
Fyer, M. R., FRANCES, A. J., Sullivan, T., Hurt, S. W., & Clarkin, J. F. (1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.6.737 · Cited by 100
Positive Childhood Experiences
Skodol, A. E., Bender, D. S., Pagano, M. E., Shea, M. T., Yen, S., Sanislow, C. A., Grilo, C. M., Daversa, M. T., Stout, R. L., Zanarini, M. C., et al. (2007) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v68n0719 · Cited by 85
Self-citationSoloff, P. H., & Fabio, A. (2008) · Journal of Personality Disorders · doi:10.1521/pedi.2008.22.2.123 · Cited by 80
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., Hennen, J. A., & Silk, K. R. (2005) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000165295.65844.52 · Cited by 73
Self-citationvan Dijke, A., van der Hart, O., Ford, J. D., van Son, M. J. M., van der Heijden, P. G. M., & Bühring, M. E. F. (2010) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2010.496140 · Cited by 72
Zanarini, M. C., Frankenburg, F. R., Jager‐Hyman, S., Reich, D. B., & Fitzmaurice, G. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01247.x · Cited by 68
Self-citationScott Τ Wilson, Fertuck, E. A., Kwitel, A., Stanley, M. C., & Stanley, B. (2006) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh.2006.18.1.189 · Cited by 61
Childhood abuse, adult assault, and dissociation
Lipschitz, D. S., Kaplan, M. L., Sorkenn, J. B., Chorney, P., & Asnis, G. M. (1996) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(96)90005-x · Cited by 59
Predicting and Preventing Suicide: Do We Know Enough to Do Either?
Paris, J. (2006) · Harvard Review of Psychiatry · doi:10.1080/10673220600968662 · Cited by 58
Age-related differences in individual DSM criteria for borderline personality disorder
Stepp, S. D., & Pilkonis, P. A. (2008) · Journal of Personality Disorders · doi:10.1521/pedi.2008.22.4.427 · Cited by 58
Substance Abuse in Borderline Personality Disorder: Clinical and Etiological Correlates
van den Bosch, L. M. C., Verheul, R., & van den Brink, W. (2001) · Journal of Personality Disorders · doi:10.1521/pedi.15.5.416.19201 · Cited by 48
Pathways to High-Lethality Suicide Attempts in Individuals with Borderline Personality Disorder
Chesin, M. S., Jeglic, E. L., & Stanley, B. (2010) · Archives of Suicide Research · doi:10.1080/13811118.2010.524054 · Cited by 44
A predictor model for suicide attempt: evidence from a population-based study.
Nojomi, M., Malakouti, S. K., Bolhari, J., & Poshtmashhadi, M. (2007) · PubMed · Cited by 30
Understanding Nonsuicidal Self-Injury
Moore, J., & Bauer, R. (2022) · Journal of Christian Nursing · doi:10.1097/cnj.0000000000000939 · Cited by 28
Kraft, T. L., Jobes, D. A., Lineberry, T. W., Conrad, A. K., & Kung, S. (2010) · Archives of Suicide Research · doi:10.1080/13811118.2010.524073 · Cited by 20
Yen, S., Shea, M., Walsh, Z., Edelen, M., Hopwood, C. J., Markowitz, J. C., Ansell, E. B., Morey, L., Grilo, C., Sanislow, C., et al. (2011) · Journal of Clinical Psychiatry · doi:10.4088/jcp.09m05583blu · Cited by 16
Self-citation
Research works printed but not linked: 4
- Hollingshead, 1957, Two factor index of social position (unpublished document)
- 2009, Stata Statistical Software: Release 11.2
- Costa, 1992, NEO PI-R: Professional Manual (Revised NEO Personality Inventory (NEO PI-R) and NEO Five-Factor Inventory (NEO-FFI)
- 2005, Stata Statistical Software: Release 9.2
Cited by
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Plener, P. L., Schumacher, T. S., Munz, L. M., & Groschwitz, R. C. (2015) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-014-0024-3 · Cited by 704
Bentley, K. H., Franklin, J. C., Ribeiro, J. D., Kleiman, E. M., Fox, K. R., & Nock, M. K. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.11.008 · Cited by 422
Harned, M. S., Korslund, K. E., & Linehan, M. M. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.01.008 · Cited by 388
Complex PTSD, affect dysregulation, and borderline personality disorder
Ford, J. D., & Courtois, C. A. (2014) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/2051-6673-1-9 · Cited by 182
Metadata
- Authors
- Wedig, M. M., Silverman, M. H., Frankenburg, F. R., Reich, D. B., Fitzmaurice, G., & Zanarini, M. C.
- Affiliations
- Harvard University (US)
- McLean Hospital (US)
- Boston University (US)
- Corresponding author
- Wedig, M. M.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-03-22
- Volume
- 42
- Issue
- 11
- Pages
- 2395-2404
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- PMC
- PMC3600404
- OpenAlex
- W2051744096
- Cited by
- 137
- References
- 52
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 10 · 2023: 13 · 2022: 8 · 2021: 18 · 2020: 9 · 2019: 10 · 2018: 6 · 2017: 6 · 2016: 13 · 2015: 9 · 2014: 13 · 2013: 7 · 2012: 1
- FWCI
- 10.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- McLean Hospital
- National Institute of Mental Health (MH-62169, R29MH047588, R01MH062169, MH-47588)
- 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, major depressive disorder, substance use disorders, post-traumatic stress disorder, self-harm, adult sexual assault, family history of suicide, neuroticism, dissociation, comorbidities
- MeSH terms
- Adult, Mental Disorders, Borderline Personality Disorder, Female, Humans, Longitudinal Studies, Male, Risk Factors, Suicide, Attempted, Comorbidity, Young Adult
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