title: Coping strategies associated with suicidal behaviour in adolescent inpatients with borderline personality disorder.
abstract: OBJECTIVE
  To compare the coping strategies of adolescents with borderline personality disorder (BPD) to the coping strategies of adolescents without BPD, and to explore the association of coping with suicidal ideation and attempts among adolescents with BPD.
  
  
  METHODS
  Adolescent inpatients (n = 167) aged 13 to 17 years were admitted after suicide attempts and evaluated within 10 days, using the abbreviated version of the Diagnostic Interview for Borderlines-Revised, the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version supported by a team consensus best estimate method for the primary diagnosis, the Adolescent Coping Scale, and the Columbia-Suicide Severity Rating Scale.
  
  
  RESULTS
  Firstly, compared with adolescents without BPD, adolescents with BPD relied more on nonproductive coping strategies, mostly avoidant strategies, and less on productive coping strategies. Secondly, coping appeared as a factor associated with suicidal ideation in adolescents with BPD. While while controlling for age, sex, and depression, multivariate analyses showed a significant positive association between the coping strategy to focusing on solving the problem and suicidal ideation.
  
  
  CONCLUSIONS
  The use of avoidant strategies by adolescents with BPD could be viewed as attempts to increase emotional regulation. Problem-solving strategies in the immediate aftermath of a suicide attempt may prevent adolescents with BPD from overcoming a crisis and may increase suicidal ideation.
authors.affiliation: Psychiatry Resident, Service de Psychopathologie de l'Enfant et de l'Adolescent et Unité de Médecine de l'Adolescent, Centre Hospitalier Universitaire d'Amiens, Université Picardie Jules Verne, Amiens, France.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Knafo
authors.affiliation: Professor and Department Head, Service de Psychopathologie de l'Enfant et de l'Adolescent et Unité de Médecine de l'Adolescent, Centre Hospitalier Universitaire d'Amiens, Université Picardie Jules Verne, Amiens, France; Associate Professor, Département de Psychiatrie, Université de Montréal, Montréal, Québec; Assistant Professor, Division of Child Psychiatry, Department of Psychiatry, McGill University, Montréal, Québec; Researcher, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, site de l'Hôpital Rivière-des-Prairies, Montréal, Québec.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Guilé
authors.affiliation: Associate Professor, Département de Psychiatrie, Université de Montréal, Montréal, Québec; Researcher, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, l'Hôpital Rivière-des-Prairies, Montréal, Québec.
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Breton
authors.affiliation: Psychologist and Researcher, Clinique des troubles de l'humeur and Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Hôpital Rivière-des-Prairies, Montréal, Québec; Full Professor, Département de psychologie, Université du Québec à Montréal, Montréal, Québec; Associate Professor, Département de psychiatrie, Université de Montréal, Montréal, Québec.
authors.forename: Réal
authors.initials: R
authors.lastname: Labelle
authors.affiliation: Psychiatrist, Département de pédiatrie médicale, Fédération hospitalo-universitaire de psychiatrie de l'enfant et de l'adolescent, Centre hospitalier universitaire de Rouen et Centre hospitalier du Rouvray, Université de Rouen, Rouen, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Belloncle
authors.affiliation: Statistics Engineer and Data Manager, Service de Psychiatrie de l'Enfant et de l'Adolescent, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hopitaux de Paris et Université Pierre et Marie Curie, Paris, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Bodeau
authors.affiliation: Professor and Department Head, Service de pédiatrie et Unité de Médecine de l'Adolescent, Centre Hospitalier Universitaire d'Amiens, Université Picardie Jules Verne, Amiens, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Boudailliez
authors.affiliation: Psychiatry Resident, Service de Psychopathologie de l'Enfant et de l'Adolescent et Unité de Médecine de l'Adolescent, Centre Hospitalier Universitaire d'Amiens, Université Picardie Jules Verne, Amiens, France.
authors.forename: Sébastien Garny
authors.initials: SG
authors.lastname: De La Rivière
authors.affiliation: Psychiatry Resident, Service de Psychopathologie de l'Enfant et de l'Adolescent et Unité de Médecine de l'Adolescent, Centre Hospitalier Universitaire d'Amiens, Université Picardie Jules Verne, Amiens, France.
authors.forename: Brahim
authors.initials: B
authors.lastname: Kharij
authors.affiliation: Professor, Service de Psychopathologie de l'Enfant et de l'Adolescent et Unité de Médecine de l'Adolescent, Centre Hospitalier Universitaire d'Amiens, Université Picardie Jules Verne, Amiens, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Mille
authors.affiliation: Psychiatrist, Fédération hospitalo-universitaire de psychiatrie de l'enfant et de l'adolescent, Centre hospitalier universitaire de Rouen, Rouen, France; PhD Student, Inserm U1079, Université de Rouen, Rouen, France.
authors.forename: Bojan
authors.initials: B
authors.lastname: Mirkovic
authors.affiliation: Senior Psychiatrist, Service de Psychopathologie de l'Enfant et de l'Adolescent et Unité de Médecine de l'Adolescent, Centre Hospitalier Universitaire d'Amiens, Université Picardie Jules Verne, Amiens, France.
authors.forename: Cornelia
authors.initials: C
authors.lastname: Pripis
authors.affiliation: Child and Adolescent Psychiatrist, Standard Life Centre for Breakthroughs in Teen Depression and Suicide Prevention, Douglas Mental Health University Institute, Montréal, Québec; Medical Chief, McGill Group for Suicide Studies, McGill University, Montréal, Québec.
authors.forename: Johanne
authors.initials: J
authors.lastname: Renaud
authors.affiliation: Head, Service de Pédiatrie, Centre Hospitalier de Compiègne, Compiègne, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Vervel
authors.affiliation: Professor and Department Head, Service de Psychiatrie de l'Enfant et de l'Adolescent, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hopitaux de Paris et Université Pierre et Marie Curie, Paris, France; Researcher, CNRS UMR 7222 Institut des Systèmes Intelligents et Robotiques, Université Pierre et Marie Curie, Paris, France.
authors.forename: David
authors.initials: D
authors.lastname: Cohen
authors.affiliation: Professor and Department Head, Département de pédiatrie médicale, Fédération hospitalo-universitaire de psychiatrie de l'enfant et de l'adolescent, Centre Hospitalier universitaire de Rouen et Centre hospitalier du Rouvray, France, Rouen et Rouvray, France; Researcher, Laboratoire Psy-NCA-EA-4700, Université de Rouen, Rouen, France.
authors.forename: Priscille
authors.initials: P
authors.lastname: Gérardin
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001883:Borderline Personality Disorder / Q000523:psychology*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology; D008297:Male; D013406:Suicide, Attempted / Q000523:psychology*