Goodman Marianne, Tomas Irene Alvarez, Temes Christina M, Fitzmaurice Garrett M, Aguirre Blaise A, Zanarini Mary C
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
James J. Peters Veterans Affairs Medical Center, Bronx, NY, USA.
Personal Ment Health. 2017 Aug;11(3):157-163. doi: 10.1002/pmh.1375. Epub 2017 May 22.
Prevalence data on self-mutilation and suicide attempts for adolescent borderline personality disorder (BPD) are currently not available. The purpose of this paper was to determine the frequency and methods of two forms of physically self-destructive acts (i.e. self-mutilation and suicide attempts) reported by adolescent borderline inpatients in one of the largest samples to date and to compare these results with a similarly diagnosed and assessed group of adult borderline inpatients.
A total of 104 adolescent inpatients with BPD and 290 adult inpatients with BPD were interviewed about their lifetime history of physically self-destructive acts.
The overall rates of self-mutilation (about 90%) and suicide attempts (about 75%) were similar during index admission for both adolescent and adult borderline patients. However, adolescents reported significantly higher rates of extreme levels of lifetime self-mutilation (e.g. >25 and >50 episodes) and cutting in particular, as compared with adult BPD. In contrast, borderline adults were significantly more likely to report a history of numerous (five or more) suicide attempts than adolescents with BPD.
Self-mutilation and suicide attempts among adolescent borderline patients are prevalent and serious. Taken together, these results suggest that extreme levels of self-mutilation distinguish adolescent BPD from adults with BPD. Copyright © 2017 John Wiley & Sons, Ltd.
目前尚无关于青少年边缘型人格障碍（BPD）患者自残和自杀未遂的患病率数据。本文旨在确定迄今为止最大样本之一的青少年边缘型住院患者报告的两种身体自我伤害行为（即自残和自杀未遂）的频率及方式，并将这些结果与一组经过类似诊断和评估的成年边缘型住院患者进行比较。
对104名青少年BPD住院患者和290名成年BPD住院患者进行访谈，了解他们一生当中身体自我伤害行为的病史。
青少年和成年边缘型患者在本次住院期间自残（约90%）和自杀未遂（约75%）的总体发生率相似。然而，与成年BPD患者相比，青少年报告的一生当中极端自残水平（如>25次和>50次发作）发生率显著更高，尤其是割伤。相反，边缘型成年患者比青少年BPD患者更有可能报告有多次（五次或更多）自杀未遂史。
青少年边缘型患者的自残和自杀未遂行为普遍且严重。综合来看，这些结果表明，极端自残水平可将青少年BPD与成年BPD患者区分开来。版权所有© 2017约翰·威利父子有限公司。
