Variability in suicidal ideation is associated with affective instability in suicide attempters with borderline personality disorder - Rizk MM, Choo TH, Galfalvy H, Biggs E, Brodsky BS, Oquendo MA, Mann JJ, Stanley B.

OBJECTIVE: Suicidal ideation (SI) is heterogeneous with different patterns and risk factors. SI can be persistent with stable severity, but may also fluctuate rapidly over a short period of time. The latter pattern is likely associated with affective insta...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news

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CONCLUSIONS: Violence in BPD patients is expressed particularly towards intimate partners and known persons, usually in the homes of perpetrators. Anger, impulsivity and avoiding abandonment are traits associated with violence while suicidal behaviour, identity disturbance and affective instability are not. These patients are disproportionately found in higher levels of secure care although most violence occurs in the community. In males it is more likely driven by substance use, often at transition from adolescence to adulthood, while more severe borderline pathology is implicated in women. Early identification of an at-r...
Source: Australasian Psychiatry - Category: Psychiatry Authors: Tags: Australas Psychiatry Source Type: research
Mentalizing-based treatment (MBT) has developed over the last 2 decades as a coherent conceptual framework, and it is increasing as an empirically supported approach to borderline personality disorder, family treatment of children and adolescents, eating disorders, and self-harming adolescents. In this Extended Workshop, participants will learn about: 1) how mentalizing capacities develop in the context of attachment relationships; and 2) the impact of neurodevelopmental changes in the mentalizing capacities of adolescents.
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Tags: Extended Workshop 1 Source Type: research
This study presents a comprehensive assessment of adolescent inpatient suicide attempters, allowing testing clinical interactions between BPD features and number of prior suicide attempts.
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Source Type: research
CONCLUSIONS: There is a growing variety of psychotherapeutic interventions for adolescents with BPD symptomatology that appears feasible and effective in the short term, but efficacy is not retained in follow-up-particularly for frequency of suicide attempts. PMID: 31558033 [PubMed - as supplied by publisher]
Source: Canadian Journal of Psychiatry - Category: Psychiatry Authors: Tags: Can J Psychiatry Source Type: research
manlou-Holloway Psychiatric hospitalization for a suicide attempt (SA), rather than suicide ideation (SI) alone, is a stronger risk indicator for eventual suicide death. Yet, little is known about demographic and clinical characteristics differentiating those admitted for SA versus SI. Understanding these differences has implications for assessment and treatment. A retrospective review of electronic medical records (EMRs) was performed on service members (n = 955) admitted for SA or SI at the Walter Reed Army Medical Center between 2001–2006. Service members hospitalized for SA were younger compared to those ...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
Borderline personality disorder (BPD) is associated with high rates of self-harm, suicide attempts, and death by suicide in adults and adolescents. Screening and assessment of BPD in self-harming adolescents could be an important clinical intervention. The...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Authors: Wongpakaran N, Wongpakaran T, Kuntawong P Abstract The study aimed to development a short screening scale for borderline personality disorder (Short-Bord), and to validate its psychometric properties using Rasch analysis. Ninety-eight outpatients undergoing psychotherapy were evaluated using a semistructured diagnostic interview for DSM-IV Personality disorders. Correlational analysis and Rasch analysis were used to identify the best-fitted items for the shorter scale. Rasch analysis identified three underfitted items. The best five items were selected for the Short-Bord using two analyses, resulting in tw...
Source: Asian Journal of Psychiatry - Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
Twelve-year-old children who exhibit symptoms associated with borderline personality disorder —such as experiencing extremes of rage, despair, or excitement—are at higher risk of having poor mental health by age 18, according to areport in theJournal of the American Academy of Child&Adolescent Psychiatry. The study also found these youth are more likely than their peers to be victims of violence and experience poor educational and employment outcomes.Some mental health professionals are reluctant to diagnose borderline symptoms in young teenagers because it is regarded by some as a stigmatizing diagnosis, n...
Source: Psychiatr News - Category: Psychiatry Tags: borderline personality disorder borderline symptoms at age 12 Environmental Risk Longitudinal Twin Study JAACAP poor outcomes at age 18 Source Type: research
This study examined relationships between BPD symptoms and symptoms of bulimia nervosa (BN) and anorexia nervosa (AN), including whether the nine BPD symptoms differentially relate to BN versus AN. Participants were 208 adolescent psychiatric inpatients. BPD symptoms, measured via structured interview, correlated more strongly with self-reported BN than AN symptoms. BN and AN symptoms were greater among individuals who endorsed unstable relationships, affective instability, emptiness, identity disturbance, inappropriate anger, dissociation/paranoia, and suicidal behavior. BN, but not AN symptoms, were higher when impulsivi...
Source: Eating Disorders - Category: Eating Disorders & Weight Management Authors: Tags: Eat Disord Source Type: research
This study investigates the safety and effects of tDCS, which may have a significant impact on impulsivity in patients with BPD and may be useful to reduce risky behaviors.Trial registrationClinicalTrials.gov,NCT03498937. Registered on 17 April 2018.
Source: Trials - Category: Research Source Type: clinical trials
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