“…The high index of diagnostic suspicion has led to referrals by the general medical clinic (Olssøn, Sørebø, & Dahl, 2011), which is consistent with the frequent diagnosis of PDs in outpatient psychiatric clinics (Zimmerman, Chelminski, & Young, 2008;Alnaes & Torgersen, 1988), in outpatients (around 50%; Beckwith, Moran, & Reilly, 2014), and the frequent comorbidity of PDs with other psychiatric disorders, leading to an increased severity of the medical conditions (Hayward, & Moran, 2008;Links, & Eynan, 2013;Zimmerman, Rothschild, & Chelminski 2005), being also associated with risk of suicide (Cailhol et al 2008;Lovato, 2011;Mergui, Raveh, Gropp, Golmard, & Jaworowski, 2014;Rodriguez et al, 2016;Samuels, 2011).…”