title: Prevalence and correlates of personality disorder in Great Britain.
abstract: BACKGROUND
  Epidemiological data on personality disorders, comorbidity and associated use of services are essential for health service policy.
  
  
  OBJECTIVE
  To measure the prevalence and correlates of personality disorder in a representative community sample.
  
  
  METHODS
  The Structured Clinical Interview for DSM-IVAxis II disorders was used to measure personality disorder in 626 persons aged 16-74 years in households in England, Scotland and Wales, in a two-phase survey.
  
  
  RESULTS
  The weighted prevalence of personality disorder was 4.4% (95% CI 2.9-6.7). Rates were highest among men, separated and unemployed participants in urban locations. High use of healthcare services was confounded by comorbid mental disorder and substance misuse. Cluster B disorders were associated with early institutional care and criminality.
  
  
  CONCLUSIONS
  Personality disorder is common in the community, especially in urban areas. Services are normally restricted to symptomatic, help-seeking individuals, but a vulnerable group with cluster B disorders can be identified early, are in care during childhood and enter the criminal justice system when young. This suggests the need for preventive interventions at the public mental health level.
authors.affiliation: Forensic Psychiatry Research Unit, St Bartholomew's Hospital, William Harvey House, 61 Bartholomew Close, London EC1A 7BE, UK. j.w.coid@qmul.ac.uk
authors.forename: Jeremy
authors.initials: J
authors.lastname: Coid
authors.forename: Min
authors.initials: M
authors.lastname: Yang
authors.forename: Peter
authors.initials: P
authors.lastname: Tyrer
authors.forename: Amanda
authors.initials: A
authors.lastname: Roberts
authors.forename: Simone
authors.initials: S
authors.lastname: Ullrich
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D015897:Comorbidity; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D012606:Scotland / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D014852:Wales / Q000453:epidemiology