Shen Jui-En, Huang Yu-Hsin, Huang Hui-Chun, Liu Hui-Ching, Lee Tsung-Han, Sun Fang-Ju, Huang Chiu-Ron, Liu Shen-Ing
Department of Psychiatry, MacKay Memorial Hospital, Taipei, Taiwan.
Department of Medicine, MacKay Medical College, New Taipei City, Taiwan.
Borderline Personal Disord Emot Dysregul. 2023 Aug 9;10(1):23. doi: 10.1186/s40479-023-00230-3.
The short form of the Borderline Symptom List (BSL-23) is a self-rated instrument developed from the initial 95-item German version of the Borderline Symptom List (BSL-95). It is widely used among Chinese adults, but its applicability, factor structure and validity remain uncertain in adolescents. This study aimed to evaluate the psychometric properties of the Chinese Mandarin version of the BSL-23 in a sample of suicidal adolescents.
The Chinese Mandarin BSL-23 was given to 279 outpatient adolescents with self-injurious thoughts or behaviors. The factor structure, reliability, convergent validity, criterion-related validity and cut-off value were investigated.
The Chinese Mandarin version of the BSL-23 demonstrated a one-factor structure and replicated the original version. The scale had high reliability and good test-retest stability. The Chinese Mandarin BSL-23 was correlated with depression, hopelessness, impulsivity, emotional dysregulation, self-esteem, loneliness, childhood trauma and parental bonding patterns evaluated with a variety of scales. The measure showed good criterion-related validity and predictive accuracy (AUC = 0.87) for self-injurious and suicidal adolescents with borderline personality disorder (BPD) at a cut-off point of 60/61 (mean score 2.60/2.65), with a sensitivity of 0.76 and specificity of 0.83.
The Chinese Mandarin version of the BSL-23 is a reliable and valid self-reported instrument to assess BPD symptomatology among suicidal adolescents.
边缘性症状清单简版（BSL - 23）是一种自评工具，由最初95项的德文版边缘性症状清单（BSL - 95）发展而来。它在中国成年人中广泛使用，但在青少年中的适用性、因子结构和效度仍不确定。本研究旨在评估中文版BSL - 23在有自杀倾向青少年样本中的心理测量学特性。
将中文版BSL - 23施测于279名有自伤想法或行为的门诊青少年。对其因子结构、信度、聚合效度、效标关联效度和临界值进行了研究。
中文版BSL - 23呈现单因子结构，与原版一致。该量表具有高信度和良好的重测稳定性。中文版BSL - 23与用多种量表评估的抑郁、绝望、冲动性、情绪失调、自尊、孤独、童年创伤及亲子依恋模式相关。该测量方法对边缘性人格障碍（BPD）的自伤和有自杀倾向青少年在临界值为60/61（平均分2.60/2.65）时显示出良好的效标关联效度和预测准确性（AUC = 0.87），敏感性为0.76，特异性为0.83。
中文版BSL - 23是一种可靠且有效的自评工具，可用于评估有自杀倾向青少年的BPD症状学。
