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

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Title: Risk-taking and self-harm behaviors as markers of adolescent borderline personality disorder
Authors: Yasmine Blaha, Marialuisa Cavelti, Stefan Lerch, Annekatrin Steinhoff, Julian Koenig, Michael Kaess
Source: Eur Child Adolesc Psychiatry
Blaha, Yasmine; Cavelti, Marialuisa; Lerch, Stefan; Steinhoff, Annekatrin; Koenig, Julian; Kaess, Michael (2024). Risk-taking and self-harm behaviors as markers of adolescent borderline personality disorder. European child & adolescent psychiatry, 33(8), pp. 2743-2753. Springer 10.1007/s00787-023-02353-y <http://dx.doi.org/10.1007/s00787-023-02353-y>
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Male, Adolescent, Depression, Adolescent [MeSH], Female [MeSH], Depression/epidemiology [MeSH], Self-Injurious Behavior/psychology [MeSH], Risk-Taking [MeSH], Adolescence, Humans [MeSH], Original Contribution, NSSI, Adolescent Behavior/psychology [MeSH], Borderline personality disorder, Suicide, Attempted/psychology [MeSH], Suicide attempt, Borderline Personality Disorder/epidemiology [MeSH], Risk-taking behaviors, Male [MeSH], Self-Injurious Behavior/epidemiology [MeSH], Depression/psychology [MeSH], Borderline Personality Disorder/psychology [MeSH], 610 Medicine & health, Suicide, Attempted, 16. Peace & justice, 3. Good health, Risk-Taking, Borderline Personality Disorder, Adolescent Behavior, Humans, Female, Self-Injurious Behavior
Description: 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.
Document Type: Article
Other literature type
File Description: application/pdf
Language: English
ISSN: 1435-165X
1018-8827
DOI: 10.1007/s00787-023-02353-y
DOI: 10.48350/191424
Access URL: https://pubmed.ncbi.nlm.nih.gov/38194081
https://boris.unibe.ch/191424/
https://repository.publisso.de/resource/frl:6491862
Rights: CC BY
Accession Number: edsair.doi.dedup.....9d8ee7f8a7be059899b40be5ca60dcb2
Database: OpenAIRE
Description
Abstract: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.
ISSN:1435165X
10188827
DOI:10.1007/s00787-023-02353-y