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Association of adolescent dimensional borderline personality pathology with past and current nonsuicidal self-injury and lifetime suicidal behavior: a clinical multicenter study

Descriptive diagnoses of nonsuicidal self-injury (NSSI) and suicide attempts (SAs) may detract from underlying dimensional borderline personality pathology (D-BPP). This study aimed to investigate D-BPP in adolescent inpatients with NSSI and SAs. A consecutive sample of 359 adolescent inpatients was...

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Main Authors: Kaess, Michael (Author) , Brunner, Romuald (Author) , Parzer, Peter (Author) , Edanackaparampil, Manju (Author) , Schmidt, Johannes (Author) , Kirisgil, Melek (Author) , Fischer-Waldschmidt, Gloria (Author) , Wewetzer, Christoph (Author) , Lehmkuhl, Gerd (Author) , Resch, Franz (Author)
Format: Article (Journal)
Language:English
Published: September 10, 2016
In: Psychopathology
Year: 2016, Volume: 49, Issue: 5, Pages: 356-363
ISSN:1423-033X
DOI:10.1159/000448481
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1159/000448481
Verlag, lizenzpflichtig, Volltext: https://www.karger.com/Article/FullText/448481
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Author Notes:Michael Kaess, Romuald Brunner, Peter Parzer, Manju Edanackaparampil, Johannes Schmidt, Melek Kirisgil, Gloria Fischer, Christoph Wewetzer, Gerd Lehmkuhl, Franz Resch
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Summary:Descriptive diagnoses of nonsuicidal self-injury (NSSI) and suicide attempts (SAs) may detract from underlying dimensional borderline personality pathology (D-BPP). This study aimed to investigate D-BPP in adolescent inpatients with NSSI and SAs. A consecutive sample of 359 adolescent inpatients was assessed for current and past NSSI and life-time SAs. D-BPP and current mental health problems were measured using the Dimensional Assessment of Personality Pathology and the Strengths and Difficulties Questionnaire, respectively. D-BPP was significantly associated with both current (p < 0.001) and past NSSI (p = 0.025) and life-time SAs (p < 0.001) compared to their non-self-harming peers. Patients with current and past NSSI did not differ in terms of D-BPP or current mental health problems. A multivariate model did not show any additional influence of current mental health problems over and above D-BPP in predicting NSSI and SAs. It can be hypothesized that D-BPP underlies adolescent self-harm and may persist even after its termination, promoting a higher burden of mental health problems.
Item Description:Gesehen am 06.05.2020
Physical Description:Online Resource
ISSN:1423-033X
DOI:10.1159/000448481

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