Borderline Personality Disorder and Adolescence

Miller, Alec L.; Neft, Deborah; Golombeck, Nira

doi:10.1300/j200v06n01_08

Cited by 6 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although this level of analyses was outside of the scope of the present study, it may account for the absence of group differences in the frequency of suicide attempts and is an important area for future research. Extending the notion of subtypes to adolescents, Miller and colleagues (Miller, Muehlenkamp, & Jacobson, 2008; Miller, Neft, & Golombeck, 2008) suggested in their reviews of adolescent BPD, that there is a subgroup of adolescent BPD patients for whom the disorder is stable and reliable but a second subgroup for whom BPD traits will resolve. While our data cannot speak to this point, it is possible that early onset of suicidal behaviours and higher frequency and intensity of such behaviours may indicate a more stable BPD subgroup.…”

Section: Discussionmentioning

confidence: 99%

Suicide ideation and attempts among inpatient adolescents with borderline personality disorder: Frequency, intensity and age of onset

Venta

Ross

Schatte

et al. 2012

Personality & Mental Health

View full text Add to dashboard Cite

Suicide ideation and attempts are a major health concern among adolescents, and recently, evidence has emerged suggesting that borderline personality disorder (BPD) may put individuals at even greater risk than depression alone. This is not surprising given that within adult samples, 8–10% of those diagnosed with BPD commit suicide. However, only a handful of studies have assessed the relation between BPD and suicide attempts among adolescents, and currently, nothing is known about the characteristics of suicide ideation among adolescents with BPD. Against this background, the aim of the present study was to examine the relation between BPD and the characteristics of suicide ideation and attempts (frequency, intensity and age of onset) in N = 106 adolescent inpatients. This question was examined using both clinician‐rated and adolescent‐rated measures of suicide ideation and attempts and both dimensional and categorical measures of BPD. The results of the present study indicate that adolescents with BPD experience suicide ideation earlier in life and more frequently than psychiatric controls. Notably, the groups did not differ with regard to adolescent‐rated intensity of suicide ideation nor frequency, intent to die or age of onset of suicide attempts. A number of possible explanations for the absence of these group differences are presented. Copyright © 2012 John Wiley & Sons, Ltd.

show abstract

Section: Discussionmentioning

confidence: 99%

Suicide ideation and attempts among inpatient adolescents with borderline personality disorder: Frequency, intensity and age of onset

Venta

Ross

Schatte

et al. 2012

Personality & Mental Health

View full text Add to dashboard Cite

show abstract

“…Adolescence is a unique developmental period characterized by increased emotional reactions and sensitivities, impulsive behavior, and cognitive immaturity [4]. Thus, PDs throughout adolescence are frequently misdiagnosed as temporary, age-related deviant behaviors [5], and professionals tend not to diagnose personality pathology in patients during this period [6]. However, recent studies have found that persistent traits of personality and behavior are stable in early and middle childhood [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Non-suicidal self-injury major repeater (NSSI > 20 times life span) 4. PSS: The Paykel Suicide Scale; UP3: Unbearable Psychache Scale ; SITBI: The Self-Injurious Thoughts and Behaviors Questionnaire (items 41-44); CTQ-SF: The Childhood Trauma Questionnaire-Short Form; APRI-V: The Adolescent Peer Relations Instrument-victimization Spanish version 5. ADHD: Attention-Deficit/Hyperactivity Disorder; Other Emotional Disorders: Emotional disorders with onset specific to childhood (ICD-10, F93).…”

mentioning

confidence: 99%

Comparing Differences between Two Groups of Adolescents Hospitalized for Self-Harming Behaviors with and without Personality Disorders

Wang

Bella-Fernández

et al. 2022

JCM

View full text Add to dashboard Cite

Self-harm (non-suicidal self-injury (NSSI) and suicidal behavior (SB)) is frequent display during adolescence. Patients with personality disorders (PDs) frequently self-harm. However, few studies have focused on the role of PDs in self-harming adolescents. In this study, we collected 79 adolescents hospitalized due to self-harm (88.6% female; 78.5% Caucasian) and divided them into two groups, with or without a diagnosis of PD. The socio-demographic and psychological-clinical data were collected through a structured interview by clinicians. Univariate, subgroup, and multiple logistic regression analyses were performed. Univariate analysis showed that adolescents with a PD and self-harm had (1) an older age at hospitalization (p < 0.01); (2) experienced physical and sexual abuse (p = 0.05, and p < 0.01, respectively); (3) ADHD (p = 0.05); (4) a greater number of SA (p < 0.01); and (5) probability of being a major NSSI patient (>20 lifetime NSSI episodes) (p < 0.01). After multivariate stratified analysis, the results indicated that an older age, and particularly major NSSI status were predictors of PD diagnosis. Early identification and a better understanding of the characteristics of adolescent PDs can assist clinicians in intervening earlier and developing more rational treatment strategies to reduce the long-term effects of PDs.

show abstract

“…Currently, BPD is defined by a pervasive pattern of instability of interpersonal relationships, self-image and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts (APA, 2000). While the DSM permits the use of the BPD diagnosis in adolescence (if symptoms have been present for 12 months) the definition remains vague (Miller et al, 2008) and the evidence base for treatment options is minimal (National Institute for Health and Clinical Excellence (NICE), 2009).…”

Section: Introductionmentioning

confidence: 99%

Working around a contested diagnosis: Borderline personality disorder in adolescence

Koehne¹,

Hamilton

Sands

et al. 2012

Health (London)

View full text Add to dashboard Cite

This discourse analytic study sits at the intersection of everyday communications with young people in mental health settings and the enduring sociological critique of diagnoses in psychiatry. The diagnosis of borderline personality disorder (BPD) is both contested and stigmatized, in mental health and general health settings. Its legitimacy is further contested within the specialist adolescent mental health setting. In this setting, clinicians face a quandary regarding the application of adult diagnostic criteria to an adolescent population, aged less than 18 years. This article presents an analysis of interviews undertaken with Child and Adolescent Mental Health Services (CAMHS) clinicians in two publicly funded Australian services, about their use of the BPD diagnosis. In contrast with notions of primacy of diagnosis or of transparency in communications, doctors, nurses and allied health clinicians resisted and subverted a diagnosis of BPD in their work with adolescents. We delineate specific social and discursive strategies that clinicians displayed and reflected on, including: team rules which discouraged diagnostic disclosure; the lexical strategy of hedging when using the diagnosis; the prohibition and utility of informal 'borderline talk' among clinicians; and reframing the diagnosis with young people. For clinicians, these strategies legitimated their scepticism and enabled them to work with diagnostic uncertainty, in a population identified as vulnerable. For adolescent identities, these strategies served to forestall a BPD trajectory, allowing room for troubled adolescents to move and grow. These findings illuminate how the contest surrounding this diagnosis in principle is expressed in everyday clinical practice.

show abstract

Borderline Personality Disorder and Adolescence

Cited by 6 publications

References 13 publications

Suicide ideation and attempts among inpatient adolescents with borderline personality disorder: Frequency, intensity and age of onset

Suicide ideation and attempts among inpatient adolescents with borderline personality disorder: Frequency, intensity and age of onset

Comparing Differences between Two Groups of Adolescents Hospitalized for Self-Harming Behaviors with and without Personality Disorders

Working around a contested diagnosis: Borderline personality disorder in adolescence

Contact Info

Product

Resources

About