Temperament as a Prospective Predictor of Self-Injury Among Patients With Borderline Personality Disorder

Abstract

This study examined the association of novelty seeking, harm avoidance, and reward dependence with different types (suicide attempts vs. nonsuicidal self-injury) and aspects (medical risk, impulsiveness, suicide intent) of self-injury over a 12-month period. Fifty-five female patients with borderline personality disorder enrolled in clinical trials completed Cloninger's Temperament and Character Inventory at pretreatment as well as the Suicide Attempt Self-Injury Interview at four-month intervals starting from the pretreatment assessment. Regression analyses indicated that the reward dependence subscale of attachment, a protective factor, was most consistently and uniquely associated with aspects of self-injury, including prestudy and prospective nonsuicidal self-injury and suicide intent, and prospective suicide attempts. After controlling for prestudy self-injury, few temperament variables predicted prospective self-injury. Higher scores on both the novelty seeking subscale of impulsiveness and the reward dependence attachment subscale were associated with lower prospective suicide intent even after controlling for pre-study suicide intent.

The association between nonsuicidal self-injury and the emotional disorders: A meta-analytic review

“…Despite this, the effect sizes generated in this meta-analysis are largely comparable to those reported for other widely studied correlates and risk factors of NSSI, including sex, age, emotion dysregulation, and impulsivity (Andrews, Martin, Hasking, & Page, 2013;Franklin, Puzia, Lee, & Prinstein, 2014;Glenn & Klonsky, 2011;Janis & Nock, 2009;Tatnell, Kelada, Hasking, & Martin, 2013;Whitlock et al, 2011;Wilcox et al, 2012). Although stronger and more consistent results have been observed for prior NSSI (Chapman, Derbidge, Cooney, Hong, & Linehan, 2009;Franklin et al, 2014;Tuisku et al, 2014), there is an urgent need for continued research aimed to determine the most clinically useful factors to identify individuals at-risk of NSSI.…”

Impulsivity and nonsuicidal self-injury: A review and meta-analysis

“…Moreover, the link between impulsivity and NSSI found for self-report measures was eliminated in some studies when researchers controlled for other risk factors for NSSI Carli et al, 2010;Evren et al, 2012;Rodav et al, 2014;Sacks et al, 2008). Longitudinal research on the link between impulsivity and NSSI also was limited and findings were mixed (Chapman et al, 2009;Glenn & Klonsky, 2011;. The results of the present review, therefore, highlight the need for additional research on impulsivity and NSSI.…”

“…Specifically, only four studies that involved multiple assessments of impulsivity and NSSI over time were identified (Black & Mildred, 2013;Chapman et al, 2009;Glenn & Klonsky, 2011;. In three of these studies, negative urgency was concurrently associated with NSSI engagement (Black & Mildred, 2013;Glenn & Klonsky, 2011;.…”

“…Some researchers have reported a strong link between impulsivity and NSSI (Glenn & Klonsky, 2010;Ogle & Clements, 2008), whereas other researchers have found no relation between these two constructs (Bornovalova, Tull, Gratz, Levy, & Lejuez, 2011;Chapman, Derbidge, Cooney, Hong, & Linehan, 2009). To date, little attention has been given as to why these differences exist.…”

<i>NCAM1</i>, <i>TACR1</i> and <i>NOS</i> Genes and Temperament: A Study on Suicide Attempters and Controls

“…Recent studies confirmed the association for Harm Avoidance [3][4][5][6][7] , while some discrepancies have been found regarding Novelty Seeking [2,3,5,8] .…”