The Incremental Validity of Borderline Personality Disorder Relative to Major Depressive Disorder for Suicidal Ideation and Deliberate Self-Harm in Adolescents

Journal of personality disorders (Impact Factor: 3.08). 12/2012; 26(6):927-38. DOI: 10.1521/pedi.2012.26.6.927
Source: PubMed

ABSTRACT Few studies have examined the relation between suicide-related behaviors and Borderline Personality Disorder (BPD) in adolescent samples. The current study investigated the incremental validity of BPD relative to Major Depressive Disorder (MDD) for suicide-related behaviors in a psychiatric sample of adolescents at the cross-sectional level of analysis. The sample included N = 156 consecutive admissions (55.1% female; M age = 15.47; SD = 1.41), to the adolescent treatment program of an inpatient treatment facility. Of the sample 19.2% (n = 30) met criteria for BPD on the Child Interview for DSM-IV Borderline Personality Disorder and 39.1% (n = 61) met criteria for MDD on the Computerized Diagnostic Interview Schedule for Children-IV. Results showed that BPD conferred additional risk for suicidal ideation and deliberate self-harm. Our findings support the clinical impression that BPD should be evaluated in inpatient samples of adolescents either through intake interviews or more structured assessments.

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Available from: Carla Sharp, Jan 21, 2014
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