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Cited by 297Personality Disorders and PsychopathologySuicide and Self-Harm StudiesBipolar Disorder and Treatment

Characteristics of Borderline Personality Disorder Associated With Suicidal Behavior

Brodsky, Beth S., Malone, Kevin M., Ellis, Steven P., Dulit, Rebecca A., Mann, J. John·1997·American Journal of Psychiatry
DOI 10.1176/ajp.154.12.1715
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Abstract

Objective This study examined the relationship between characteristics of borderline personality disorder and suicidal behavior. The authors hypothesized that a specific feature of borderline personality disorder, impulsivity, and childhood trauma, a possible etiological factor in the development of impulsivity, would be associated with suicidal behavior. Method Information on lifetime history of suicidal behavior was obtained from 214 inpatients diagnosed with borderline personality disorder by structured clinical interview. The authors examined the relationship between DSM-III-R criteria met and the following measures of suicidal behavior: presence or absence of a previous suicide attempt, number of previous attempts, and lethality and intent to die associated with the most lethal lifetime attempt. Results Impulsivity was the only characteristic of borderline personality disorder (excluding the self-destructive criterion) that was associated with a higher number of previous suicide attempts after control for lifetime diagnoses of depression and substance abuse. Global severity of pathology of borderline personality disorder was not associated with suicidal behavior. History of childhood abuse correlated significantly with number of lifetime suicide attempts. Conclusions The trait of impulsivity is associated with number of lifetime suicide attempts and may therefore be a putative risk factor for a future suicide attempt. If so, impulsivity is a potential target therapeutica…

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  • Numerous studies have established that childhood stressors such as abuse or witnessing domestic violence can lead to a variety of negative health outcomes and behaviors, such as substance abuse, suicide attempts, and depressive disorders.

    “Numerous studies have established that childhood stressors such as abuse or witnessing domestic violence can lead to a variety of negative health outcomes and behaviors, such as substance abuse, suicide attempts, and depressive disorders (Brodsky 1997; Kingree 1999; van der Kolk 1991; Kendall-Tackett 1993; Osofsky 1999; Hefferman 2000; Kendler 2000; Putnam 2003; Rohsenow 1988).”

    From The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology (2006) · cites this paper as Brodsky 1997

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Authors
Brodsky, B. S., Malone, K. M., Ellis, S. P., Dulit, R. A., & Mann, J. J.
Affiliations
New York State Psychiatric Institute (US)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
1997-12-01
Volume
154
Issue
12
Pages
1715-1719
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/ajp.154.12.1715
OpenAlex
W2094631599
Cited by
297
References
35
Citations by year
2026: 2 · 2025: 5 · 2024: 6 · 2023: 10 · 2022: 9 · 2021: 12 · 2020: 6 · 2019: 5 · 2018: 6 · 2017: 15 · 2016: 12 · 2015: 15 · 2014: 15 · 2013: 19 · 2012: 12
FWCI
7.89
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (MH48514, R01MH048514)
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, suicidal behavior, suicide attempts, impulsivity, childhood abuse, childhood trauma, self-destructive behavior, suicide prevention, suicide attempt lethality
MeSH terms
Adolescent, Adult, Aged, Borderline Personality Disorder, Child, Child Abuse, Hospitalization, Humans, Middle Aged, Personality Inventory, Psychiatric Status Rating Scales, Regression Analysis, Risk Factors, Severity of Illness Index, Suicide, Suicide, Attempted, Comorbidity

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