Pathways to High-Lethality Suicide Attempts in Individuals with Borderline Personality Disorder

被引：34

作者：

Chesin, Megan S. ^{[1
,2
,3
,4
]}

Jeglic, Elizabeth L. ^{[3
]}

Stanley, Barbara ^{[3
]}

机构：

[1] CUNY, Dept Psychol, John Jay Coll, New York, NY 10019 USA

[2] Columbia Univ Coll Phys & Surg, Dept Psychiat, New York, NY 10032 USA

[3] CUNY, Grad Ctr, New York, NY USA

[4] New York State Psychiat Inst & Hosp, Div Mol Imaging & Neuropathol, New York, NY 10032 USA

来源：

ARCHIVES OF SUICIDE RESEARCH | 2010年 / 14卷 / 04期

关键词：

borderline personality disorder; high lethality suicide attempt; impulsivity; RISK-FACTORS; COMPLETED SUICIDE; MAJOR DEPRESSION; MONOAMINE METABOLITES; FIT INDEXES; BEHAVIOR; AGGRESSION; IMPULSIVITY; ALCOHOL; INTENT;

D O I：

10.1080/13811118.2010.524054

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

The purpose of this study was to develop and test a model of high-lethality suicide attempts (HLSA) in individuals with Borderline Personality Disorder (BPD). An increased number of prior suicide attempts, substance use immediately prior to the attempt, and objective planning were proposed to lead directly to a HLSA, while aggression and impulsivity were hypothesized to lead indirectly to a HLSA through their associations with prior attempts. Path analysis revealed a revised model in which impulsivity was found to be significantly associated with both the lethality of the most recent attempt and the number of prior attempts. These results are discussed in terms of trait and crescendo models of suicidal behavior and their implications for suicide risk assessment among individuals with BPD.

引用

页码：342 / 362

页数：21

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