Dilemmas in the Management of Suicidal Behavior in Individuals with Borderline Personality Disorder

1990 ◽  
Vol 44 (2) ◽  
pp. 160-171 ◽  
Author(s):  
Mark A. Fine ◽  
Randy A. Sansone
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicidal Behavior ◽  
Borderline Personality

Personality and Personality Disorder

2020 ◽  
pp. 119-130
Author(s):  
Joel Paris
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Traits ◽  
Mood Disorders ◽  
Suicidal Behavior ◽  
Borderline Personality ◽  
Clear Cut ◽  
Normal People ◽  
Affective Instability

Personality traits differ among normal people, and one should only diagnose a personality disorder (PD) in the presence of a clear-cut impairment of functioning. Most of these disorders lie on a spectrum with traits, but those that cause prominent symptoms present more often in psychiatry The most clinically important category of PD is borderline personality disorder (BPD), but this condition is widely underdiagnosed. Since these patients often present with depression and/or affective instability, clinicians often see them as suffering from mood disorders, and treat them unsuccessfully with antidepressants. However, this population, which shows repetitive suicidal behavior, needs to be correctly diagnosed to be referred for specialized psychotherapy.

Exploring the boundaries between borderline personality disorder and suicidal behavior disorder

2019 ◽  
Vol 270 (8) ◽  
pp. 959-967 ◽  
Author(s):  
D. Ducasse ◽  
J. Lopez-Castroman ◽  
D. Dassa ◽  
V. Brand-Arpon ◽  
K. Dupuy-Maurin ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicidal Behavior ◽  
Behavior Disorder ◽  
Borderline Personality

Dialectical Behavior Therapy for Borderline Personality Disorder and Suicidality Among Sexual and Gender Minority Individuals

2019 ◽  
pp. 408-429
Author(s):  
David W. Pantalone ◽  
Colleen A. Sloan ◽  
Adam Carmel
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicidal Behavior ◽  
Borderline Personality ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Lgbt Individuals

Population-based estimates of borderline personality disorder (BPD) prevalence in lesbian, gay, bisexual, and transgender (LGBT) individuals are lacking. However, epidemiologic data point to high rates of suicidality, including suicide attempts and self-harm, for LGBT individuals—likely due to the high levels of stigma and discrimination that sexual and gender minority individuals experience. The first-line treatment for BPD and suicidal behavior is dialectical behavior therapy (DBT)—a cognitive–behavioral treatment with an emphasis on skills training, based on a biosocial model of disordered behavior—which aims to help clients end suicidal behavior, improve emotion regulation capabilities, and build a “life worth living.” Despite a lack of empirical support, a DBT conceptualization is highly consistent theoretically with the tenets of LGBT-affirmative therapy. This chapter discusses areas of convergence between the biosocial model and the minority stress model, and it presents two case studies of the application of DBT to LGBT clients.

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