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Cited by 127

Clinical correlates of self-mutilation in borderline personality disorder

·1994·American Journal of Psychiatry
DOI 10.1176/ajp.151.9.1305
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Abstract

Objective This exploratory study sought demographic and clinical correlates of self-mutilation (self-injury without suicidal intent) in borderline personality disorder. Method Among 124 consecutively admitted inpatients with borderline personality disorder, there were 62 who did not mutilate themselves, 23 who mutilated themselves infrequently (fewer than five lifetime events), and 39 who mutilated themselves frequently (five or more lifetime events); each received ratings on numerous measures of psychopathology. Results Compared to nonmutilators, frequent mutilators were significantly more likely to be in outpatient treatment at the time of admission and had more weeks of prior outpatient and inpatient treatment; they were also more likely to receive comorbid diagnoses of current major depression, anorexia nervosa, and bulimia nervosa. Frequent mutilators had significantly higher group means on the Beck Scale for Suicidal Ideation, were more likely to have attempted suicide, and were more likely to have attempted suicide more often than both infrequent mutilators and nonmutilators. The adjusted odds ratios from logistic regression analyses demonstrated that major depression, bulimia nervosa, number of prior suicide attempts, and acute suicidal ideation were each associated with greater risk of frequent mutilation. Conclusions Borderline patients who frequently mutilate themselves may represent a subgroup of especially high utilizers of psychiatric treatment who are at partic…

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Crossref · 10.1176/ajp.151.9.1305

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4 of 4 references verified0 citation errors · 0 not checkable

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  • Studies suggest that 15% to 40% of clients with BN attempt suicide, and there is a strong association between AN and completed suicide.

    “Studies suggest that 15% to 40% of clients with BN attempt suicide (Dulit, Fyer, Leon, Brodsky, & Frances, 1994); similarly, there is a strong association between AN and completed suicide (Wisniewski, Safer, & Chen, 2007).”

    From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Dulit, Fyer, Leon, Brodsky, & Frances, 1994

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Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
1994-09-01
Volume
151
Issue
9
Pages
1305-1311
ISSN
  • 0002-953X
  • 1535-7228
DOI
10.1176/ajp.151.9.1305
Cited by
127
References
4
Language
en

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