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Journal Article

Citation

Sher L, Rutter SB, New AS, Siever LJ, Hazlett EA. Acta Psychiatr. Scand. 2019; 139(2): 145-153.

Affiliation

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1111/acps.12981

PMID

30353921

Abstract

OBJECTIVE: We examined gender differences and similarities in aggression, impulsivity, suicidal behavior, and psychiatric comorbidity in men and women with borderline personality disorder (BPD) compared with healthy controls.

METHOD: A community sample of 511 participants (healthy controls: 81 men and 82 women; BPD patients: 145 men and 203 women) were rigorously characterized using structured diagnostic interviews and symptom severity assessments.

RESULTS: In comparison to women with BPD, men were less educated, had higher total Barratt Impulsivity Scale (BIS), BIS - motoric impulsiveness and BIS - non-planning impulsiveness subscale, total Buss Perry Aggression Questionnaire (BPAQ), and BPAQ - physical aggression subscale scores. Men with BPD were more likely to have comorbid narcissistic, antisocial, paranoid, and schizotypal personality disorder, alcohol and substance use disorders but less likely to have dependent and obsessive-compulsive personality disorders compared to women with BPD. There was a trend towards higher maximum lethality of suicide attempt in men suicide attempters compared to women suicide attempters but no difference between men and women with regard to the proportion of suicide attempters or the number of suicide attempts.

CONCLUSION: Men with BPD are more impaired and may be at higher risk of dying by suicide compared to women with BPD. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.


Language: en

Keywords

aggression; borderline personality disorder; gender; impulsivity; suicide

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