title: Hostility and childhood sexual abuse as predictors of suicidal behaviour in Borderline Personality Disorder.
abstract: Impulsivity is a multidimensional construct and has been previously associated with suicidal behaviour in borderline personality disorder (BPD). This study examined the associations between suicidal behaviour and impulsivity-related personality traits, as well as history of childhood sexual abuse, in 76 patients diagnosed with BPD using both the Structured Interview for Diagnostic and Statistical Manual of Mental Disorders III (DSM-III) Axis-II diagnoses and the self-personality questionnaire. Impulsivity-related traits were measured using the Barratt Impulsiveness Scale-11 (BIS-11), the Buss-Durkee Hostility Inventory (BDHI) and the Temperament and Character Inventory-Revised (TCI-R). We found that hostility and childhood sexual abuse, but not impulsivity or other temperament traits, significantly predicted the presence, number and severity of previous suicide attempts. Hostility traits and childhood sexual abuse showed an impact on suicide attempts in BPD. Our results support previous findings indicating that high levels of hostility and having suffered sexual abuse during childhood lead to an increased risk for suicidal behaviour in BPD.
authors.affiliation: Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM. Servicio de Psiquiatría, Institut d'Investigació Biomèdica- Sant Pau (IIB-SANT PAU), Barcelona. Universitat Autònoma de Barcelona (UAB), Spain; Psychopathology and Neuropsychology Research Unit, Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain. Electronic address: lilianaferraz@gmail.com.
authors.forename: Liliana
authors.initials: L
authors.lastname: Ferraz
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Portella
authors.forename: Mónica
authors.initials: M
authors.lastname: Vállez
authors.forename: Fernando
authors.initials: F
authors.lastname: Gutiérrez
authors.forename: Ana
authors.initials: A
authors.lastname: Martín-Blanco
authors.forename: Rocío
authors.initials: R
authors.lastname: Martín-Santos
authors.forename: Susana
authors.initials: S
authors.lastname: Subirà
mesh_terms: D000293:Adolescent; D000328:Adult; D001883:Borderline Personality Disorder / Q000453:epidemiology / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006791:Hostility; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D011237:Predictive Value of Tests; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013694:Temperament
keywords: Borderline personality disorder (BPD); Childhood sexual abuse.; Hostility; Impulsivity; Suicidal behaviour; Temperament