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

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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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Authors: Brodsky, B. S., Malone, K. M., Ellis, S. P., Dulit, R. A., & Mann, J. J.
Affiliations: New York State Psychiatric Institute (US)
ORCID: Malone, Kevin M.
Ellis, Steven P.
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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Characteristics of Borderline Personality Disorder Associated With Suicidal Behavior

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