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Cited by 262Personality Disorders and PsychopathologyBipolar Disorder and TreatmentPersonality Traits and Psychology

Prevention and early intervention for borderline personality disorder: current status and recent evidence

Open access
Chanen, Andrew M., McCutcheon, Louise·2013·British Journal of Psychiatry
DOI 10.1192/bjp.bp.112.119180
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Abstract

Summary: Borderline personality disorder (BPD) is a leading candidate for developing empirically based prevention and early intervention programmes because it is common in clinical practice, it is among the most functionally disabling of all mental disorders, it is often associated with help-seeking, and it has been shown to respond to intervention, even in those with established disorder. Moreover, it can be reliably diagnosed in its early stages and it demarcates a group with high levels of current and future morbidity and mortality. Data also suggest considerable flexibility and malleability of BPD traits in youth, making this a key developmental period during which to intervene. Novel indicated prevention and early intervention programmes have shown that BPD in young people responds to intervention. Further work is required to develop appropriate universal and selective preventive interventions.

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  • Adolescents who receive timely and appropriate treatment for BPD exhibit better psychological functioning and reduced symptom severity over time.

    “Research indicates that adolescents who receive timely and appropriate treatment for BPD exhibit better psychological functioning and reduced symptom severity over time (41–43).”

    From Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study (2025) · cites this paper as [42]

    The ‘Principles of early intervention’ section reports that adolescents receiving the HYPE intervention improved faster in internalising and externalising psychopathology than those receiving treatment as usual, with lower psychopathology at two-year follow-up. This supports reduced symptoms over time, but the paper does not report improved psychological functioning as a treatment outcome; it also says a separate intervention, ERT, was not substantially different from usual treatment. (LLM, conf=0.82)

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  • The use of an informant can improve the validity of a diagnostic assessment for personality disorder, however, as with self-description, informant reports can also introduce information bias.

    “The use of an informant can improve the validity of a diagnostic assessment for PD 26 , however, as with self-description, informant reports can also introduce information bias.”

    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 [26]

    The 'Disorder in young people' and 'Remaining barriers and potential risks' sections discuss the validity of diagnosing borderline personality disorder in young people, but not whether using an informant improves assessment validity. Searches for informant reports, self-report and information bias found no passage addressing that claim in our copy. (LLM, conf=0.75)

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Research works printed but not linked: 1

  1. Nock MK. Self-injury. Annu Rev Clin Psychol 2010; 6: 339-63.

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Authors
Chanen, A. M., & McCutcheon, L.
Affiliations
The University of Melbourne (AU)
Corresponding author
Chanen, Andrew M.
ORCID
Venue
British Journal of Psychiatry
Publisher
Royal College of Psychiatrists
Published
2013-01
Volume
202
Issue
s54
Pages
s24-s29
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
DOI
10.1192/bjp.bp.112.119180
OpenAlex
W2115247088
Cited by
262
References
96
Citations by year
2026: 7 · 2025: 17 · 2024: 14 · 2023: 16 · 2022: 17 · 2021: 31 · 2020: 36 · 2019: 17 · 2018: 29 · 2017: 22 · 2016: 19 · 2015: 16 · 2014: 12 · 2013: 8 · 2012: 1
FWCI
20.37
Type
journal article
Language
en
Open access
Licence
www.cambridge.org/core/terms (unspecified, 1827 d)
Locations
  • The British Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords
borderline personality disorder, prevention, early intervention, indicated prevention, universal prevention, selective prevention, youth, adolescents, help-seeking, early diagnosis, morbidity and mortality
MeSH terms
Adolescent, Adult, Borderline Personality Disorder, Child, Child Health Services, Humans, Preventive Health Services, Risk Factors, Adolescent Health Services, Early Diagnosis, Early Medical Intervention

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