Citation

Harford TC, Chen CM, Kerridge BT, Grant BF. J. Personal. Disord. 2018; ePub(ePub): 1-18.

Affiliation

National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland.

Copyright

(Copyright © 2018, Guilford Publications)

DOI

10.1521/pedi_2018_32_361

PMID

30307827

Abstract

Borderline personality disorder (BPD) is associated with violence toward self and others. This study aims to further identify which DSM-5 BPD criteria are independently related to violence, using data from National Epidemiologic Survey on Alcohol and Related Conditions-III, which included a total of 36,309 U.S. respondents ages 18 and older (n = 4,301 for BPD; n = 19,404 for subthreshold BPD). Multinomial logistic regression examined the associations between BPD criteria and violence categories, including suicide attempt (self-directed), violence toward others (other-directed), combined (self-/other-directed) violence, and no violence. In the total population, identity disturbance, impulsivity, and intense anger significantly characterized violence toward others, while avoidance of abandonment, self-mutilating behavior, feelings of emptiness, and intense anger significantly characterized violence toward self. These criteria (except identity disturbance) also significantly characterized combined self- and other-directed violence. Differential associations of the BPD criteria with violence among BPD and subthreshold BPD populations also are discussed.

Language: en

Keywords

DSM-5 psychiatric disorders; borderline personality disorder; national survey; suicide attempt; violence