Psychiatric and personality disorders in deliberate self-harm patients
Open accessAbstract
Background: Previous UK studies have reported much lower rates of psychiatric and personality disorder in those who attempt suicide than in those who die by suicide. Aims: To determine the nature and prevalence of psychiatric and personality disorders in deliberate self-harm (DSH) patients. Method: A representative sample of 150 DSH patients who presented to a general hospital were assessed using a structured clinical interview and a standardised instrument. Follow-up interviews were completed for 118 patients approximately 12–16 months later. Results: ICD–10 psychiatric disorders were diagnosed in 138 patients (92.0%), with comorbidity of psychiatric disorders in 46.7%. The most common diagnosis was affective disorder (72.0%). Personality disorder was identified in 45.9% of patients interviewed at follow-up. Comorbidity of psychiatric and personality disorder was present in 44.1%. Conclusions: Psychiatric and personality disorders, and their comorbidity, are common in DSH patients. This has important implications for assessment and management.
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There is scant research on the association between sub-threshold symptoms of personality disorder and later depression and anxiety.
“Notwithstanding, there is scant research on the association between sub-threshold symptoms of PD and later depression and anxiety 21,22 .”
From The influence of personality disorder on the future mental health and social adjustment of young adults: a population-based, longitudinal cohort study (2016) · cites this paper as [22]
The Personality disorders section says few studies have screened for the full range of personality disorders in deliberate self-harm patients, and reports personality trait accentuation in some patients. It does not address whether research is scarce on the association between sub-threshold personality-disorder symptoms and later depression or anxiety. Searches for that association and for subsequent depressive or anxiety disorders found no passage addressing it; page numbers were unavailable in our copy. (LLM, conf=0.75)
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- Authors
- Haw, C., Hawton, K., Houston, K., & Townsend, E.
- Affiliations
- St Andrew's Healthcare (GB)
- Warneford Hospital (GB)
- Corresponding author
- Hawton, Keith
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2001-01
- Volume
- 178
- Issue
- 1
- Pages
- 48-54
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2153600699
- Cited by
- 469
- References
- 22
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 5 · 2023: 14 · 2022: 12 · 2021: 25 · 2020: 19 · 2019: 14 · 2018: 20 · 2017: 19 · 2016: 29 · 2015: 18 · 2014: 28 · 2013: 36 · 2012: 23
- FWCI
- 16.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- self-harm, mental illness, personality disorders, comorbidities, mood disorders, suicide attempts, prevalence, follow-up evaluation
- MeSH terms
- Adolescent, Adult, Aged, Analysis of Variance, Mental Disorders, England, Female, Follow-Up Studies, Humans, Male, Middle Aged, Personality Disorders, Social Class, Comorbidity, Prevalence, Self-Injurious Behavior, Mood Disorders
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