Association of parasuicidal behaviour to early maladaptive schemas and schema modes in patients with BPD: The Oulu BPD study.
The present study aimed to examine which early maladaptive schemas (EMSs) and schema modes emerged in parasuicidal and non-parasuicidal patients with BPD participating in the Oulu BPD study. The patients' EMSs were assessed using the Young Schema Questionnaire, and schema modes using the Young Atkinson Mode Inventory. Sixty patients with BPD responded to both the schema and schema mode questionnaires; of these, 46 (76.7%) fulfilled the criteria for parasuicidality. In BPD patients with parasuicidality, the EMSs of emotional deprivation, abandonment/instability, mistrust/abuse and social isolation were the most prevalent, and the schema modes of vulnerable child, angry child, detached protector and compliant surrender were prominent. In patients without parasuicidality, the schema modes of healthy adult and happy child were the most prevalent. Significant correlations were observed between the schema modes of detached protector, vulnerable child, punitive parent and angry child and almost every EMS in BPD patients with parasuicidality. Our preliminary findings suggest that associations between certain EMSs and schema modes to parasuicidality in BPD patients may provide valuable information when planning and implementing their treatment.
City of Oulu, Social and Health Services, Mental Health Services, PO Box 13, 90015, Oulu, Finland.|University of Oulu, Institute of Clinical Medicine, Psychiatry, PO Box 5000, 90014, Oulu, Finland.
Virpi
V
Leppänen
University of Oulu, Institute of Clinical Medicine, Psychiatry, PO Box 5000, 90014, Oulu, Finland.
Elina
E
Vuorenmaa
University of Eastern Finland, Department of Clinical Medicine, PO Box 100, 70029 KYS, Kuopio, Finland.|Central Finland Health Care District, Jyväskylä Central Hospital, Matarankatu 6 B, 40100, Jyväskylä, Finland.
Sari
S
Lindeman
Southern Ostrobothnia Hospital District, Huhtalantie 53, 60220, Seinäjoki, Finland.
Jyrki
J
Tuulari
Oulu University Hospital, Department of Psychiatry, PO Box 26, 90029, Oulu, Finland.
Helinä
H
Hakko
D000328:Adult; D001883:Borderline Personality Disorder / Q000523:psychology*; D002648:Child; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D012307:Risk Factors; D012309:Risk-Taking; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires