Prevalence and correlates of suicide attempts in Chinese individuals with borderline personality disorder

BackgroundTo date, few empirical studies have examined the clinical characteristics of suicide attempts (SA) in individuals with borderline personality disorder (BPD) in China.AimsTo examine the prevalence and factors associated with SA in Chinese individuals with BPD.MethodsIn this cross-sectional...

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Main Authors: Fan Yang, Jun Tong, Shu-Fang Zhang, Juan Zhang, Bao-Liang Zhong
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.942782/full
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author Fan Yang
Fan Yang
Jun Tong
Jun Tong
Shu-Fang Zhang
Shu-Fang Zhang
Juan Zhang
Juan Zhang
Bao-Liang Zhong
Bao-Liang Zhong
author_facet Fan Yang
Fan Yang
Jun Tong
Jun Tong
Shu-Fang Zhang
Shu-Fang Zhang
Juan Zhang
Juan Zhang
Bao-Liang Zhong
Bao-Liang Zhong
author_sort Fan Yang
collection DOAJ
description BackgroundTo date, few empirical studies have examined the clinical characteristics of suicide attempts (SA) in individuals with borderline personality disorder (BPD) in China.AimsTo examine the prevalence and factors associated with SA in Chinese individuals with BPD.MethodsIn this cross-sectional study, 84 patients with BPD were recruited from a large public psychiatric hospital in Wuhan, China, between 2013 and 2015. Trained experienced psychiatrists interviewed participants to collect clinical data, including demographics, axis I and axis II diagnoses of mental disorders according to the DSM-IV-TR, number of hospitalizations, and history of SA. An interview outline was used to identify the existence of lifetime SA. In addition, the Beck Depression Inventory-II, Buss & Perry Aggression Questionnaire, Child Trauma Questionnaire-Short Form, and Beck Hopelessness Scale were administered to assess respondents’ depressive symptoms, aggression, childhood traumatic experiences, and hopelessness.ResultsFifty-two (61.9%) patients reported attempting suicide during their lifetime. Univariate logistic regression analysis screened 7 factors associated with SA in individuals with BPD into Multiple logistic regression analysis: female sex, unemployment, major depressive disorder (MDD), hostility, self-aggression, depressive symptoms, and emotional neglect. Multiple logistic regression analysis identified 3 significant and independent correlates of SA: MDD [odds ratio (OR) = 26.773, 95% confidence interval (CI) = 3.914–183.132, P = 0.001], hostility (OR = 1.073, CI = 1.019–1.130, P = 0.007), and self-aggression (OR = 1.056, CI = 0.998–1.119, P = 0.060).ConclusionChinese individuals with BPD have a high risk of suicide. Correlates of SA in this population differ to some extent from those in Western populations as reported in the literature. Paying attention to MDD and some types of aggression in Chinese individuals with BPD may help identify their risk of suicide. Future large-sample cohort study may improve the limitations of this study and further confirm the point of view above.
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spelling doaj.art-147e6a03d09b4d068576908d956024cb2022-12-22T03:07:37ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-08-011310.3389/fpsyt.2022.942782942782Prevalence and correlates of suicide attempts in Chinese individuals with borderline personality disorderFan Yang0Fan Yang1Jun Tong2Jun Tong3Shu-Fang Zhang4Shu-Fang Zhang5Juan Zhang6Juan Zhang7Bao-Liang Zhong8Bao-Liang Zhong9Department of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, ChinaBackgroundTo date, few empirical studies have examined the clinical characteristics of suicide attempts (SA) in individuals with borderline personality disorder (BPD) in China.AimsTo examine the prevalence and factors associated with SA in Chinese individuals with BPD.MethodsIn this cross-sectional study, 84 patients with BPD were recruited from a large public psychiatric hospital in Wuhan, China, between 2013 and 2015. Trained experienced psychiatrists interviewed participants to collect clinical data, including demographics, axis I and axis II diagnoses of mental disorders according to the DSM-IV-TR, number of hospitalizations, and history of SA. An interview outline was used to identify the existence of lifetime SA. In addition, the Beck Depression Inventory-II, Buss & Perry Aggression Questionnaire, Child Trauma Questionnaire-Short Form, and Beck Hopelessness Scale were administered to assess respondents’ depressive symptoms, aggression, childhood traumatic experiences, and hopelessness.ResultsFifty-two (61.9%) patients reported attempting suicide during their lifetime. Univariate logistic regression analysis screened 7 factors associated with SA in individuals with BPD into Multiple logistic regression analysis: female sex, unemployment, major depressive disorder (MDD), hostility, self-aggression, depressive symptoms, and emotional neglect. Multiple logistic regression analysis identified 3 significant and independent correlates of SA: MDD [odds ratio (OR) = 26.773, 95% confidence interval (CI) = 3.914–183.132, P = 0.001], hostility (OR = 1.073, CI = 1.019–1.130, P = 0.007), and self-aggression (OR = 1.056, CI = 0.998–1.119, P = 0.060).ConclusionChinese individuals with BPD have a high risk of suicide. Correlates of SA in this population differ to some extent from those in Western populations as reported in the literature. Paying attention to MDD and some types of aggression in Chinese individuals with BPD may help identify their risk of suicide. Future large-sample cohort study may improve the limitations of this study and further confirm the point of view above.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.942782/fullborderline personality disordersuicide attemptprevalencefactorsclinical characteristics
spellingShingle Fan Yang
Fan Yang
Jun Tong
Jun Tong
Shu-Fang Zhang
Shu-Fang Zhang
Juan Zhang
Juan Zhang
Bao-Liang Zhong
Bao-Liang Zhong
Prevalence and correlates of suicide attempts in Chinese individuals with borderline personality disorder
Frontiers in Psychiatry
borderline personality disorder
suicide attempt
prevalence
factors
clinical characteristics
title Prevalence and correlates of suicide attempts in Chinese individuals with borderline personality disorder
title_full Prevalence and correlates of suicide attempts in Chinese individuals with borderline personality disorder
title_fullStr Prevalence and correlates of suicide attempts in Chinese individuals with borderline personality disorder
title_full_unstemmed Prevalence and correlates of suicide attempts in Chinese individuals with borderline personality disorder
title_short Prevalence and correlates of suicide attempts in Chinese individuals with borderline personality disorder
title_sort prevalence and correlates of suicide attempts in chinese individuals with borderline personality disorder
topic borderline personality disorder
suicide attempt
prevalence
factors
clinical characteristics
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.942782/full
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