Comprehensive Psychiatry
Volume 46, Issue 2 , Pages 117-120 , March 2005

Childhood abuse, mental healthcare utilization, self-harm behavior, and multiple psychiatric diagnoses among inpatients with and without a borderline diagnosis

  • Randy A. Sansone

      Affiliations

    • Department of Psychiatry at Wright State University School of Medicine, Dayton, OH 45408, USA
    • Department of Internal Medicine at Wright State University School of Medicine, Dayton, OH 45408, USA
    • Kettering Medical Center, Kettering, OH 45429, USA
    • Corresponding Author InformationCorresponding author. Sycamore Primary Care Center, Miamisburg, OH 45342, USA. Tel.: +1 937 384 6850; fax: +1 937 384 6938.
    • ,
  • Douglas A. Songer

      Affiliations

    • Department of Psychiatry at Wright State University School of Medicine, Dayton, OH 45408, USA
    • Miami Valley Hospital, Dayton, OH 45409, USA
    • ,
  • Kimberly A. Miller

      Affiliations

    • Department of Psychological Science, Ball State University, Muncie, IN 47306, USA

References 

  1. American Psychiatric Association . Diagnostic and statistical manual of mental disorders. 4th ed.. Washington (DC): Author; 1994;
  2. Zanarini MC, Gunderson JG, Marino MF, Schwartz EO, Frankenburg FR. Childhood experiences of borderline patients. Compr. Psychiatry. 1989;30:18–25
  3. Sabo AN. Etiological significance of associations between childhood trauma and borderline personality disorder: conceptual and clinical implications. J. Personal. Disord. 1997;11:50–70
  4. Goodman M, Yehuda R. The relationship between psychological trauma and borderline personality disorder. Psychiatr. Ann. 2002;32:337–345
  5. Yen S, Shea MT, Battle CL, Johnson DM, Zlotnick C, Dolan-Sewell R, et al. Traumatic exposure and posttraumatic stress disorder in borderline, schizotypal, avoidant and obsessive-compulsive personality disorders: findings from the Collaborative Longitudinal Personality Disorders Study. J. Nerv. Ment. Dis. 2002;190:510–518
  6. Hull JW, Yeomans F, Clarkin J, Li C, Goodman G. Factors associated with multiple hospitalizations of patients with borderline personality. Psychiatr. Serv. 1996;47:638–641
  7. Zanarini MC, Frankenburg FR, Khera GS, Bleichmar J. Treatment histories of borderline inpatients. Compr. Psychiatry. 2001;42:144–150
  8. Hurt RO. A study of characteristics of adult inpatient psychiatric patients as predictors of readmission: implications for managed care. Diss. Abstr. Int., B. Sci. Eng. 2001;62:550
  9. Zlotnick C, Johnson DM, Yen S, Battle CL, Sanislow CA, Skodol AE, et al. Clinical features and impairment in women with borderline personality disorder (BPD) with posttraumatic stress disorder (PTSD), BPD without PTSD, and other personality disorders with PTSD. J. Nerv. Ment. Dis. 2003;191:706–713
  10. Soloff PH, Lynch KG, Kelly TM, Malone KM, Mann JJ. Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: a comparative study. Am. J. Psychiatry. 2000;157:601–608
  11. Yen S, Shea T, Pagano M, Sanislow CA, Grilo CM, McGlashan TH, et al. Axis I and Axis II disorders as predictors of prospective suicide attempts: findings from the Collaborative Longitudinal Personality Disorders Study. J. Abnorm. Psychol. 2003;112:375–381
  12. Elliott AJ, Pages KP, Russo J, Wilson LG. A profile of medically serious suicide attempts. J. Clin. Psychiatry. 1996;57:567–571
  13. Gupta B, Trzepacz PT. Serious overdosers admitted to a general hospital: comparison with nonoverdose self-injuries and medically ill patients with suicidal ideation. Gen. Hosp. Psychiatry. 1997;19:209–215
  14. Stanley B, Gameroff MJ, Michalsen V, Mann JJ. Are suicide attempters who self-mutilate a unique population?. Am. J. Psychiatry. 2001;158:427–432
  15. Soloff PH, Lynch KG, Kelly TM. Childhood abuse as a risk factor for suicidal behavior in borderline personality disorder. J. Personal Disord. 2002;16:201–214
  16. Sansone RA, Songer DA, Gaither GA. Diagnostic approaches to borderline personality and their relationship to self-harm behavior. Int. J. Psychiatry Clin. Pract. 2001;5:273–277
  17. Zweig-Frank H, Paris J. The five-factor model of personality in borderline and nonborderline personality disorders. Can. J. Psychiatry. 1995;40:523–526
  18. Morey LC, Zanarini MC. Borderline personality: traits and disorder. J. Abnorm. Psychol. 2000;109:733–737
  19. Zanarini MC, Frankenburg FR, Dubo ED, Sickel AE, Trikha A, Levin A, et al. Axis I comorbidity of borderline personality disorder. Am. J. Psychiatry. 1998;155:1733–1739
  20. Zimmerman M, Mattia JI. Axis I diagnostic comorbidity and borderline personality disorder. Compr. Psychiatry. 1999;40:245–252
  21. Soderberg S. Personality disorders in parasuicide. Nord. J. Psychiatry. 2001;55:163–167
  22. Becker DF, Grilo CM, Edell WS, McGlashan TH. Comorbidity of borderline personality disorder with other personality disorders in hospitalized adolescents and adults. Am. J. Psychiatry. 2000;157:2011–2016
  23. McGlashan TH, Grilo CM, Skodol AE, Gunderson JG, Shea MT, Morey LC, et al. The Collaborative Longitudinal Personality Disorders Study: baseline Axis I/II and II/II diagnostic co-occurrence. Acta Psychiatr. Scand. 2000;102:256–264
  24. Sansone RA, Wiederman MW, Sansone LA. The Self-Harm Inventory (SHI): development of a scale for identifying self-destructive behaviors and borderline personality disorder. J. Clin. Psychol. 1998;54:973–983
  25. Nurnberg HG, Raskin M, Levine PE, Pollack S, Siegel O, Prince R. The comorbidity of borderline personality and other DSM-III-R Axis II personality disorders. Am. J. Psychiatry. 1991;148:1371–1377
  26. Kolb JE, Gunderson JG. Diagnosing borderline patients with a semistructured interview. Arch. Gen. Psychiatry. 1980;37:37–41

PII: S0010-440X(04)00122-1

doi: 10.1016/j.comppsych.2004.07.033

Comprehensive Psychiatry
Volume 46, Issue 2 , Pages 117-120 , March 2005

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