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- Title
Borderline Personality Disorder and Posttraumatic Stress Disorder at Psychiatric Discharge Predict General Hospital Admission for Self-Harm.
- Authors
Mellesdal, Liv; Gjestad, Rolf; Johnsen, Erik; Jørgensen, Hugo A.; Oedegaard, Ketil J.; Kroken, Rune A.; Mehlum, Lars
- Abstract
We investigated whether posttraumatic stress disorder (PTSD) was predictor of suicidal behavior even when adjusting for comorbid borderline personality disorder (BPD) and other salient risk factors. To study this, we randomly selected 308 patients admitted to a psychiatric hospital because of suicide risk. Baseline interviews were performed within the first days of the stay. Information concerning the number of self-harm admissions to general hospitals over the subsequent 6 months was retrieved through linkage with the regional hospital registers. A censored regression analysis of hospital admissions for self-harm indicated significant associations with both PTSD (β = .21, p < .001) and BPD (β = .27, p < .001). A structural model comprising two latent BPD factors, dysregulation and relationship problems, as well as PTSD and several other variables, demonstrated that PTSD was an important predictor of the number of self-harm admissions to general hospitals(B = 1.52, p < .01). Dysregulation predicted self-harm directly (B = 0.28, p < .05), and also through PTSD [corrected]. These results suggested that PTSD and related dysregulation problems could be important treatment targets for a reduction in the risk of severe self-harm in high-risk psychiatric patients.
- Subjects
NORWAY; TREATMENT of borderline personality disorder; TREATMENT of post-traumatic stress disorder; SUICIDE risk factors; REGRESSION analysis; HOSPITAL admission &; discharge; SUICIDE prevention; SUICIDE &; psychology; PSYCHIATRIC hospital statistics; BORDERLINE personality disorder; MENTAL depression; HOSPITAL care; HOSPITAL patients; BIPOLAR disorder; MENTAL status examination; POST-traumatic stress disorder; RISK assessment; STATISTICAL sampling; SELF-injurious behavior; SUICIDE; COMORBIDITY; RANDOMIZED controlled trials; PSYCHOLOGICAL factors; PSYCHOLOGY
- Publication
Journal of Traumatic Stress, 2015, Vol 28, Issue 6, p556
- ISSN
0894-9867
- Publication type
journal article
- DOI
10.1002/jts.22053