Three specific symptoms may help clinicians identify patients with borderline personality disorders (BPD) at highest risk for suicide.
Results of a large longitudinal study show patients with BPD are at considerably higher risk of suicide attempts compared to patients with other personality disorders including schizotypal, avoidant, and obsessive compulsive personality disorder (OCPD).
Furthermore, among DSM-5 diagnostic criteria for BPD, the study identified three as the most significant independent risk factors for suicide attempts in this patient population. They included identity disturbance, chronic feelings of emptiness, and frantic efforts to avoid abandonment.
The take-home message for clinicians is they should screen for these three factors in patients with BPD when assessing suicide risk, study investigator Shirley Yen, PhD, associate professor, Harvard Medical School, Boston, Massachusetts, told Medscape Medical News.
The study was published online November 18 in JAMA Psychiatry.
Individuals with psychiatric disorders are at increased risk