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• W57939698 abstract "Back to table of contents Previous article Next article No AccessClinical correlates of self-mutilation in borderline personality disorderPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.151.9.1305AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: This exploratory study sought demographic and clinical correlates of self-mutilation (self-injury without suicidal intent) in borderline personality disorder. METHOD: Among 124 consecutively admitted inpatients with borderline personality disorder, there were 62 who did not mutilate themselves, 23 who mutilated themselves infrequently (fewer than five lifetime events), and 39 who mutilated themselves frequently (five or more lifetime events); each received ratings on numerous measures of psychopathology. RESULTS: Compared to nonmutilators, frequent mutilators were significantly more likely to be in outpatient treatment at the time of admission and had more weeks of prior outpatient and inpatient treatment; they were also more likely to receive comorbid diagnoses of current major depression, anorexia nervosa, and bulimia nervosa. Frequent mutilators had significantly higher group means on the Beck Scale for Suicidal Ideation, were more likely to have attempted suicide, and were more likely to have attempted suicide more often than both infrequent mutilators and nonmutilators. The adjusted odds ratios from logistic regression analyses demonstrated that major depression, bulimia nervosa, number of prior suicide attempts, and acute suicidal ideation were each associated with greater risk of frequent mutilation. CONCLUSIONS: Borderline patients who frequently mutilate themselves may represent a subgroup of especially high utilizers of psychiatric treatment who are at particularly high risk for suicidal behavior and for comorbid major depression and eating disorders. Clinicians should consider aggressive treatment of comorbid axis I disorders and careful assessment of suicide risk in these patients. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byParental Reports of Physically Self-Destructive Behavior in the Offspring of Patients With Borderline Personality Disorder and Other Personality DisordersJournal of Personality Disorders, Vol. 36, No. 5Does Nonsuicidal Self-Injury Predict Later Suicidal Attempts? 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Gameroff, M.A., Venezia Michalsen, B.A., and J. John Mann, M.D.1 March 2001 | American Journal of Psychiatry, Vol. 158, No. 3Uncommon Self-Mutilation in a Borderline Personality Disorder Patient17 November 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 35, No. 1Clinical Neuroscience Research, Vol. 1, No. 5Journal of Threat Assessment, Vol. 1, No. 1Journal of Personality Disorders, Vol. 15, No. 6Cognitive and Behavioral Practice, Vol. 7, No. 3Comportamiento automutilador de pacientes psiquiátricos hospitalizados12 May 2020 | European psychiatry (Ed. Española), Vol. 6, No. 6Self-mutilating behaviour of psychiatric inpatients16 April 2020 | European Psychiatry, Vol. 14, No. 1Psychiatry, Vol. 62, No. 4The functions of self-mutilationClinical Psychology Review, Vol. 18, No. 5The Journal of Nervous &amp Mental Disease, Vol. 186, No. 3Characteristics of Borderline Personality Disorder Associated With Suicidal BehaviorBeth S. Brodsky, Ph.D., Kevin M. Malone, M.D., Steven P. Ellis, Ph.D., Rebecca A. Dulit, M.D., and J. John Mann, M.D.1 December 1997 | American Journal of Psychiatry, Vol. 154, No. 12Childhood Antecedents of Self-Destructiveness in Borderline Personality Disorder1 February 1997 | The Canadian Journal of Psychiatry, Vol. 42, No. 1Journal of Child and Adolescent Psychiatric Nursing, Vol. 10, No. 3Annals of the New York Academy of Sciences, Vol. 836, No. 1 NeurobiologyMedical Hypotheses, Vol. 47, No. 6British Journal of Psychiatry, Vol. 169, No. 4Relationship of dissociation to self-mutilation and childhood abuse in borderline personality disorder1 April 2006 | American Journal of Psychiatry, Vol. 152, No. 12European Eating Disorders Review, Vol. 3, No. 3 Volume 151Issue 9 September 1994Pages 1305-1311 Metrics PDF download History Published online 1 April 2006 Published in print 1 September 1994" @default.
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