Citation

Blasczyk-Schiep S, Kazen M, Jaworska-Andryszewska P, Kuhl J. Eur. J. Psychiatry 2018; 32(2): 77-86.

Copyright

(Copyright © 2018, Departmento de Psiquiatria de la Facultad de Medicina de Zaragoza)

DOI

10.1016/j.ejpsy.2017.10.003

PMID

unavailable

Abstract

Background and objectives: We investigated differential mediators of the risk of suicidal behaviour and self-harm behaviour in a group of sixty-four patients with borderline personality disorder.

METHODS: The study included an interview to assess suicidal attempts, the Childhood Trauma Questionnaire (CTQ), volitional competences and self-regulation (VCQ), depression (BDI) and self-harm (SH) behaviour. We postulated two different serial multiple mediation models originating in emotional neglect in childhood, one leading to suicide attempts (through threat-related state orientation and depression) and the other leading to self-harm behaviour (through prospective state orientation and demand-related stress).

RESULTS: The serial multiple mediation models were confirmed, with the postulated variables serving as partial mediators of suicide attempts and of self-harm behaviour. In addition to emotional neglect, there were two additional predictors: Sexual abuse in childhood (for suicide attempts) and physical abuse in childhood (for self-harm behaviour).

CONCLUSIONS: The results highlight the critical importance of experiences of emotional neglect and other forms of abuse in childhood for the development of pathology in BPD patients. These early experiences of neglect promote deficits in self-regulation of emotion (state orientation), which together with depression or demanding circumstances, lead to an increase in the risk of suicide, or in self-harm behaviour, respectively. © 2017 Asociación Universitaria de Zaragoza para el Progreso de la Psiquiatría y la Salud Mental

Language: en

Keywords

adult; human; sexual abuse; female; male; child abuse; threat; depression; stress; suicide attempt; interview; Borderline personality disorder; suicidal behavior; experience; prediction; emotional disorder; risk factor; major clinical study; controlled study; questionnaire; disease association; automutilation; emotion; borderline state; high risk patient; physical abuse; Risk of suicide; autoregulation; mathematical analysis; Article; Self-regulation; Childhood Trauma Questionnaire; Action vs. state orientation; demand related stress; Depressiveness; self regulation questionnaire; state orientation; threat related state orientation; volitional competences questionnaire