Citation

Yen S, Shea MT, Pagano M, Sanislow CA, Grilo CM, McGlashan TH, Skodol AE, Bender DS, Zanarini MC, Gunderson JG, Morey LC. J. Abnorm. Psychol. 2003; 112(3): 375-381.

Copyright

(Copyright © 2003, American Psychological Association)

DOI

10.1037/0021-843x.112.3.375

PMID

12943016

PMCID

PMC3272767

Abstract

This study examined diagnostic predictors of prospectively observed suicide attempts in a personality disorder (PD) sample. During 2 years of follow-up, 58 participants (9%) reported at least 1 definitive suicide attempt. Predictors that were examined include 4 PD diagnoses and selected Axis I diagnoses (baseline and course). Multivariate logistic regression analyses indicated that baseline borderline personality disorder (BPD) and drug use disorders significantly predicted prospective suicide attempts. Controlling for baseline BPD diagnosis, proportional hazards analyses showed that worsening in the course of major depressive disorder (MDD) and of substance use disorders in the month preceding the attempt were also significant predictors. Therefore, among individuals diagnosed with PDs. exacerbation of Axis I conditions, particularly MDD and substance use, heightens risk for a suicide attempt.

Language: en

Keywords

Adult; Comorbidity; Female; Follow-Up Studies; Humans; Male; Mental Disorders; Personality Disorders; Prospective Studies; Suicide, Attempted; Surveys and Questionnaires