Associations between symptoms of borderline personality disorder and suicidality in inpatient adolescents: The significance of identity disturbance

Patient personality and therapist responses in the psychotherapy of adolescents with depressive disorders: toward the <i>Psychodynamic Diagnostic Manual</i> - third edition

“…In these patients, depressive symptoms were found to be significantly associated with “anaclitic neediness” i.e ., fear of abandonment and rejection, feelings of helplessness, hypertrophic desire for affection and protection, and difficulty tolerating frustration. Furthermore, borderline personality characteristics are known to heighten the frequency and lethality of suicidality among individuals with depression (Hatkevich et al ., 2019 ; Sekowski et al ., 2022 ). These distinctive dynamics are challenging to manage and treat in therapy, “pulling” clinicians to experience painful feelings of helplessness, worry, or confusion, and hindering the building of a good alliance (Brøsholen et al ., 2022 ).…”

“…In recent years, a relevant increase in the prevalence of depressive pathologies and symptoms, also as a result of the COVID-19 pandemic (Hawes et al ., 2021 ), has been registered in youths. These conditions are associated with poor psychosocial outcomes (Clayborne et al ., 2019 ), high comorbidity rates with other mental disorders (Alaie et al ., 2021 ), and increased suicidal risk (Moselli et al ., 2023 ; Sekowski et al ., 2022 ).…”

Dimensional model of adolescent personality pathology, reflective functioning, and emotional maltreatment

“…Narrative coherence increases with age and those with features attributed to BPD manifest lower levels of narrative coherence as well as identity diffusion ( 71 , 72 ). Notably, of the individual symptoms contributing to a BPD diagnosis, identity disturbance is most strongly associated with the total number of suicide attempts in adolescence ( 73 ). From a therapeutic standpoint, this accentuates the need for trauma-aware interventions to encompass a focus on PO to counteract these susceptibilities and the aftermath of CEA.…”

Case Report: A Teenager Girl with an Accentuated Personality and Self-Injurious Behavior

“…The existing ICD-10 and DSM-5 criteria do not provide for the possibility of establishing diagnoses from the heading of personality disorders in adolescents, due to the incomplete process of personality formation. Some suggestions have been made about the possibility of diagnosing borderline personality disorder in adolescents and young adults [35][36][37], in addition, the relationship of these conditions with NSSI is indicated. During the psychopathological examination, a conclusion was obtained about the presence of features of mutually exclusive accentuations.…”