title: Borderline personality disorder in adolescence.
abstract: Borderline personality disorder (BPD) is a common and severe mental disorder that is associated with severe functional impairment and a high suicide rate. BPD is usually associated with other psychiatric and personality disorders, high burden on families and carers, continuing resource utilization, and high treatment costs. BPD has been a controversial diagnosis in adolescents, but this is no longer justified. Recent evidence demonstrates that BPD is as reliable and valid among adolescents as it is in adults and that adolescents with BPD can benefit from early intervention. Consequently, adolescent BPD is now recognized in psychiatric classification systems and in national treatment guidelines. This review aims to inform practitioners in the field of adolescent health about the nature of BPD in adolescence and the benefits of early detection and intervention. BPD diagnosis and treatment should be considered part of routine practice in adolescent mental health to improve these individuals' well-being and long-term prognosis.
authors.affiliation: Section for Disorders of Personality Development, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany; michael.kaess@med.uni-heidelberg.de.
authors.forename: Michael
authors.initials: M
authors.lastname: Kaess
authors.affiliation: Section for Disorders of Personality Development, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany;
authors.forename: Romuald
authors.initials: R
authors.lastname: Brunner
authors.affiliation: Orygen Youth Health Research Centre & Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; and Orygen Youth Health Clinical Program, Northwestern Mental Health, Melbourne, Australia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Chanen
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001883:Borderline Personality Disorder / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D061345:Early Medical Intervention / Q000379:methods; D006801:Humans; D012309:Risk-Taking
keywords: adolescence; borderline personality disorder; early intervention; mental illness; self-injury; suicidal behavior