Borderline personality symptoms differentiate non-suicidal and suicidal self-injury in ethnically diverse adolescent outpatients
Borderline personality symptoms differentiate non-suicidal and suicidal self-injury in ethnically diverse adolescent outpatients
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DOI：
10.1111/j.1469-7610.2010.02305.x
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发表时间：
2011-02-01
影响因子：
7.6
通讯作者：
Claes, Laurence
中科院分区：
文献类型：
--
作者：
Muehlenkamp, Jennifer J.;Ertelt, Troy W.;Claes, Laurence
背景：关于青少年人群中特定的边缘型人格障碍（BPD）症状与自杀企图或自杀和非自杀性自伤（NSSI）之间的关系的研究很少，鉴于最近提出的NSSI障碍，了解这一点很重要。更不为人所知的是是否特定的BPD症状区分NSSI自杀企图或区分单一的重复行为的自杀或NSIS.Method：档案，去识别门诊临床图表从441种族多样性（4.3%白人，70.9%女性）的青少年（平均年龄= 14.9，SD = 1.61）进行了审查。数据有关的NSSI，自杀企图史，BPD症状，精神病诊断获得自报措施和半结构化的访谈管理intake.Results：MANOVA和Logistic回归分析显示，各组之间的显着差异，与BPD症状的“自我困惑”和“不稳定的人际关系”显着预测NSSI和NSSI+自杀组状态。BPD标准的数量满足加上高水平的自我混淆显着预测单与重复自我伤害group membership.Conclusions：两个BPD症状表现出明显的关系，NSSI和自杀企图，但没有强烈的变化，他们的关系BPD。解决BPD症状的治疗可能有助于减少不同种族青少年的NSSI和自杀。
Background:There is little research on how specific borderline personality disorder (BPD) symptoms relate to suicide attempts or suicide and non-suicidal self-injury (NSSI) within adolescent populations, which is important to know given the recent proposal of an NSSI disorder. Even less well known is whether specific BPD symptoms distinguish NSSI from suicide attempts or differentiate single from repeated acts of either suicide or NSSI.Method:Archival, de-identified outpatient clinical charts from 441 ethnically diverse (4.3% Caucasian; 70.9% female) adolescents (mean age = 14.9, SD = 1.61) were reviewed. Data pertaining to NSSI, suicide attempt history, BPD symptoms, and psychiatric diagnoses were obtained from self-report measures and semi-structured interviews administered at intake.Results:MANOVA and logistic regression analyses revealed significant differences across groups, with the BPD symptoms of 'confusion about self' and 'unstable interpersonal relationships' significantly predicting NSSI and NSSI+Suicide group status. The number of BPD criteria met plus high levels of confusion about self significantly predicted single vs. repeat self-harm group membership.Conclusions:Two BPD symptoms exhibit distinct relationships to NSSI and suicide attempts, but there is not strong variation in their relationship to BPD. Treatment addressing BPD symptoms may be useful to reducing both NSSI and suicide in ethnically diverse adolescents.