title: The incremental validity of borderline personality disorder relative to major depressive disorder for suicidal ideation and deliberate self-harm in adolescents.
abstract: Few studies have examined the relation between suicide-related behaviors and Borderline Personality Disorder (BPD) in adolescent samples. The current study investigated the incremental validity of BPD relative to Major Depressive Disorder (MDD) for suicide-related behaviors in a psychiatric sample of adolescents at the cross-sectional level of analysis. The sample included N = 156 consecutive admissions (55.1% female; M age = 15.47; SD = 1.41), to the adolescent treatment program of an inpatient treatment facility. Of the sample 19.2% (n = 30) met criteria for BPD on the Child Interview for DSM-IV Borderline Personality Disorder and 39.1% (n = 61) met criteria for MDD on the Computerized Diagnostic Interview Schedule for Children-IV. Results showed that BPD conferred additional risk for suicidal ideation and deliberate self-harm. Our findings support the clinical impression that BPD should be evaluated in inpatient samples of adolescents either through intake interviews or more structured assessments.
authors.affiliation: Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX 77024, USA. csharp2@uh.edu
authors.forename: Carla
authors.initials: C
authors.lastname: Sharp
authors.forename: Kelly L
authors.initials: KL
authors.lastname: Green
authors.forename: Ilya
authors.initials: I
authors.lastname: Yaroslavsky
authors.forename: Amanda
authors.initials: A
authors.lastname: Venta
authors.forename: Mary C
authors.initials: MC
authors.lastname: Zanarini
authors.forename: Jeremy
authors.initials: J
authors.lastname: Pettit
mesh_terms: D000293:Adolescent; D001883:Borderline Personality Disorder / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D002648:Child; D003865:Major Depressive Disorder / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010552:Personality Assessment; D011594:Psychometrics; D016728:Self-Injurious Behavior / Q000150:complications* / Q000523:psychology; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology; D011795:Surveys and Questionnaires