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Predictors of short and long term recurrence of suicidal behavior in borderline personality disorder

Acta Psychiatrica Scandinavica Jun 07, 2019

Rodante DE, et al. - Among high-risk borderline personality disorder patients, researchers sought to determine the incidence of suicidal outcomes and risk factors for short- and long-term recurrence of suicidal behavior (SB) over a 24-month prospective follow-up. Data of 136 patients admitted to the emergency department for current suicidal ideation or a recent suicide attempt (SA) were assessed for a new SA or suicide in this multicenter prospective cohort study. Outcomes revealed a higher risk of recurrence during the first 6 months. Throughout the complete follow-up period, child sexual abuse (CSA) was the only significant predictor. In the first 6 months of follow-up, the recurrence of SB was predicted by the lack of previous psychiatric treatment. Risk of SB recurrence in the long-term period (24th month) was increased in correlation to patient age, poor psychosocial functioning before hospitalization, age at first SA, and having multiple suicide attempts. Furthermore, an interaction between CSA and poor social functioning was noted increasing the risk of SB.

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