Risk-taking and self-harm behaviors as markers of adolescent borderline personality disorder.

Adolescence is a critical period for early identification and intervention of borderline personality disorder (BPD). Risk-taking and self-harm behaviors (RSB) have been identified as promising early markers of BPD and correlates of depression in school-based samples. The present study aimed, first,...

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Publicado en:European Child & Adolescent Psychiatry Vol. 33; no. 8; pp. 2743 - 2754
Autores principales: Blaha, Yasmine, Cavelti, Marialuisa, Lerch, Stefan, Steinhoff, Annekatrin, Koenig, Julian, Kaess, Michael
Formato: research tables/charts Journal Article
Publicado: Springer Nature Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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      pub: Springer Nature
      place: New York, New York
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        atl: Risk-taking and self-harm behaviors as markers of adolescent borderline personality disorder.
      aug:
        au:
          Blaha, Yasmine
          Cavelti, Marialuisa
          Lerch, Stefan
          Steinhoff, Annekatrin
          Koenig, Julian
          Kaess, Michael
        affil: https://ror.org/02k7v4d05 University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
      sug:
        subj:
          Risk Taking Behavior In Adolescence
          Self-Injurious Behavior In Adolescence
          Borderline Personality Disorder Risk Factors
          Borderline Personality Disorder Diagnosis
          Depression In Adolescence
          Risk Assessment
          Human
          Male
          Female
          Adolescence
          Funding Source
          Social Media Utilization
          Alcohol Drinking
          Tobacco
          Street Drugs
          Regression
          Structural Equation Modeling
          Severity of Illness
          Suicide, Attempted
          DSM
          Univariate Statistics
          Logistic Regression
          Odds Ratio
          Linear Regression
          Descriptive Statistics
          Adolescent: 13-18 years
          Male
          Female
      ab: Adolescence is a critical period for early identification and intervention of borderline personality disorder (BPD). Risk-taking and self-harm behaviors (RSB) have been identified as promising early markers of BPD and correlates of depression in school-based samples. The present study aimed, first, to examine the association between RSB and BPD in a clinical sample of adolescents and, second, to examine whether RSB are also linked to depression. N = 405 participants (82.7% female) were recruited from an outpatient clinic for adolescents with RSB. RSB assessed included truancy, excessive media use, alcohol, tobacco, and illicit drug use, sexual risk-taking, and self-harm behavior. Regression analyses and generalized linear models were performed to examine the associations between individual RSB or patterns of RSB (identified using latent class analysis, LCA) and a diagnosis and severity of BPD or depression. All RSB (except excessive media use) were positively associated with BPD diagnosis and severity. In contrast, only non-suicidal self-injury (NSSI) and suicide attempts were positively associated with depression diagnosis and severity, while illicit drug use was negatively associated with depression severity. The LCA yielded two classes differing in the occurrence of RSB. The high RSB class was more likely to have a BPD diagnosis and greater BPD severity than the low RSB class. Classes did not differ regarding depression diagnosis or severity. As NSSI and suicide attempts were associated with both BPD and depression, the presence of additional RSB, besides self-harm behavior, may represent a specific risk marker for BPD in adolescents.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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