Self-mutilation and suicidal behavior in borderline personality disorder

The relationship of self-mutilation to suicidal behavior was studied in 108 borderline inpatients (defined by the Diagnostic Interview for Borderline Patients). Patients with histories of self-mutilation were compared to those with no self-mutilation on diagnostic comorbidity, symptom patterns, prio...

Full description

Saved in:
Bibliographic Details
Published in:Journal of personality disorders 1994-12, Vol.8 (4), p.257-267
Main Authors: SOLOFF, P. H, LIS, J. A, KELLY, T, CORNELIUS, J, ULRICH, R
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Behavior Patterns
Biological and medical sciences
Medical sciences
Personality disorders
Personality Problems
Psychiatry
Psychological Patterns
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Schizophrenia
Suicide
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The relationship of self-mutilation to suicidal behavior was studied in 108 borderline inpatients (defined by the Diagnostic Interview for Borderline Patients). Patients with histories of self-mutilation were compared to those with no self-mutilation on diagnostic comorbidity, symptom patterns, prior suicidal behaviors, and attempt characteristics, including number of attempts, seriousness of intent, and medical lethality. Self-mutilation was found in 63% of patients, suicidal attempts in 75.7%. Patients with self-mutilation were significantly younger and more symptomatic than controls, and had more serious suicidal ideation and recent suicide attempts. On the DIB they had significantly more manipulative suicide threat or effort, depersonalization and drug-free hallucinations or delusions. They tended toward more depression and schizotypal symptoms but less anger and assaultiveness compared to non-mutilating patients. Histories of manipulative suicide attempts were characteristic of self mutilating patients; however, self mutilation was not associated with increased seriousness of intent or lethality of suicide attempts.
ISSN:0885-579X
1943-2763
DOI:10.1521/pedi.1994.8.4.257