Borderline personality disorder criteria associated with prospectively observed suicidal behavior
Borderline personality disorder criteria associated with prospectively observed suicidal behavior
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DOI：
10.1176/appi.ajp.161.7.1296
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发表时间：
2004-07-01
影响因子：
17.7
通讯作者：
Morey, LC
中科院分区：
文献类型：
--
作者：
Yen, S;Shea, MT;Morey, LC
目的：作者前瞻性地研究了每一个DSM-IV边缘型人格障碍标准和自杀行为之间的关联。方法：边缘型人格障碍的诊断和标准，重性抑郁症，物质使用障碍，儿童期性虐待的历史进行了评估与半结构化访谈。参与者（N = 621）进行了为期2年的重复结构化评估，其中包括suicidality.Results的评估：排除自伤标准，情感不稳定，身份障碍和冲动的边缘型人格障碍标准显着预测自杀行为。只有情感不稳定和儿童期性虐待与自杀企图显著相关（即，结论：情感不稳定是边缘性人格障碍的标准（不包括自伤），与自杀行为最密切相关。由于重性抑郁障碍不能显著预测自杀行为，因此与情感不稳定相关的反应性（比消极情绪状态更重要）似乎是预测自杀行为的关键因素。
Objective: The authors prospectively examined associations between each DSM-IV borderline personality disorder criterion and suicidal behaviors.Method: Borderline personality disorder diagnosis and criteria, major depressive disorder, substance use disorders, and history of childhood sexual abuse were assessed with semistructured interviews. Participants (N = 621) were followed for 2 years with repeated structured evaluations that included assessments of suicidality.Results: With the self-injury criterion excluded, the borderline personality disorder criteria of affective instability, identity disturbance, and impulsivity significantly predicted suicidal behaviors. Only affective instability and childhood sexual abuse were significantly associated with suicide attempts (i.e., behavior with some intent to die).Conclusions: Affective instability is the borderline personality disorder criterion (excluding self-injury) most strongly associated with suicidal behaviors. Since major depressive disorder did not significantly predict suicidal behaviors, the reactivity associated with affective instability (more so than negative mood states) appears to be a critical element in predicting suicidal behaviors.