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Personality disorders in parasuicide.

S Söderberg1

  • 1Department of Clinical Sciences, Psychiatry, Umeå University, SE-901 Umeå, Sweden.

Nordic Journal of Psychiatry
|February 6, 2002
PubMed
Summary

Borderline personality disorder (BPD) is highly prevalent in patients after parasuicide, often co-occurring with other personality disorders. Early diagnosis of BPD is crucial for effective treatment planning in this vulnerable population.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Parasuicide is a significant public health concern.
  • Personality disorders are frequently associated with suicidal behavior.

Purpose of the Study:

  • To determine the prevalence of personality disorders in patients admitted after parasuicide.
  • To investigate the characteristics of patients with borderline personality disorder (BPD) and other personality disorders (OPD).

Main Methods:

  • A study of 64 consecutive inpatients admitted after parasuicide.
  • Utilized structured interviews for DSM-IV personality disorders and clinical interviews for Axis I disorders and suicidal behavior.

Main Results:

  • Borderline personality disorder (BPD) was the principal diagnosis in 55% of patients.
  • Patients with BPD had higher rates of multiple personality disorders, previous parasuicidal acts, and varied methods of self-harm.
  • A significant proportion of BPD patients with ongoing treatment had undiagnosed personality disorders.

Conclusions:

  • A high prevalence of personality disorders, particularly BPD, exists in the parasuicidal population.
  • Focused and structured personality disorder diagnosis is essential for tailoring treatment plans.
  • There is a need for improved diagnostic accuracy of personality disorders in clinical records.

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