title: Pathways to high-lethality suicide attempts in individuals with borderline personality disorder.
abstract: 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.
authors.affiliation: Department of Psychology, City University of New York-John Jay College & The Graduate Center, New York, NY 10019, USA. mschaffer@gc.cuny.edu
authors.forename: Megan S
authors.initials: MS
authors.lastname: Chesin
authors.forename: Elizabeth L
authors.initials: EL
authors.lastname: Jeglic
authors.forename: Barbara
authors.initials: B
authors.lastname: Stanley
mesh_terms: D000328:Adult; D000374:Aggression / Q000187:drug effects / Q000523:psychology; D000428:Alcohol Drinking / Q000009:adverse effects / Q000523:psychology*; D032763:Behavior Control / Q000379:methods* / Q000523:psychology; D035841:Behavioral Research; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D000431:Ethanol / Q000009:adverse effects; D005260:Female; D006801:Humans; D007175:Impulsive Behavior / Q000523:psychology*; D033182:Intention; D007406:Interview, Psychological; D008297:Male; D008960:Models, Psychological; D011569:Psychiatric Status Rating Scales; D012008:Recurrence; D018570:Risk Assessment; D012720:Severity of Illness Index; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology
chemical_list: D000431:Ethanol