The Relationship Among Shame, Nonsuicidal Self-Injury, and Suicidal Behaviors in Borderline Personality Disorder

2019 ◽  
Vol 123 (3) ◽  
pp. 648-659
Author(s):  
Amy Y. Cameron ◽  
Shannon Erisman ◽  
Kathleen Palm Reed
Keyword(s):  
Borderline Personality Disorder ◽  
Suicidal Ideation ◽  
Personality Disorder ◽  
Dialectical Behavior Therapy ◽  
Borderline Personality ◽  
Self Injury ◽  
Study Results ◽  
And Behavior ◽  
The Relationship ◽  
Nonsuicidal Self Injury

Shame has been individually linked to nonsuicidal self-injury and suicidal ideation and behavior and is highly prevalent in individuals with borderline personality disorder. The current study investigated the relationship between shame, nonsuicidal self-injury, and suicidal ideation in a sample of women with borderline personality disorder. Participants were 40 women recruited from a Women’s Dialectical Behavior Therapy Partial Hospital Program in a psychiatric hospital in New England as part of a larger, six-month treatment development study. Results indicated that shame-proneness predicts nonsuicidal self-injury and suicidal ideation and behavior above and beyond the severity of borderline personality disorder symptoms, suggesting that shame may be an important treatment target for individuals with borderline personality disorder. Clinical implications, limitations, and future directions are discussed.

Dating Violence Victimization, Nonsuicidal Self-Injury, and the Moderating Effect of Borderline Personality Disorder Features in Adolescent Inpatients

2017 ◽  
Vol 35 (15-16) ◽  
pp. 3124-3147 ◽  
Author(s):  
Claire Hatkevich ◽  
William Mellick ◽  
Tyson Reuter ◽  
Jeff R. Temple ◽  
Carla Sharp
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dating Violence ◽  
Dialectical Behavior Therapy ◽  
Borderline Personality ◽  
Moderating Effect ◽  
Violence Victimization ◽  
Self Injury ◽  
Adolescent Inpatients ◽  
Nonsuicidal Self Injury

The aim of the study was to examine whether Borderline Personality Disorder (BPD) features moderate the relation between dating violence victimization (DVV) experiences and nonsuicidal self-injury (NSSI) in adolescent inpatients. A total of 184 adolescent inpatients completed measures on DVV, BPD features, and NSSI at admission to treatment. Bivariate analyses revealed significant relations between DVV, BPD features, and NSSI. Hierarchical multiple regression analyses demonstrated a moderating effect of BPD features such that in the low BPD features group, more severe DVV was associated with greater NSSI frequency; adolescents in the high BPD group endorsed elevated, though stable, levels of NSSI at all levels of DVV. BPD features differentially affect the relationship between DVV and NSSI. Low BPD adolescents exposed to high DVV appear to self-injure more frequently and at rates similar to high BPD adolescents when faced with more severe DVV, while DVV appears neither necessary nor sufficient to be the cause of NSSI in high BPD adolescents. Our results indicate that DVV may be a particularly important focal point for treating adolescents who self-injure and have been victimized by a dating partner. As such, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Dialectical Behavior Therapy (DBT) may serve as valuable clinical interventions.

scholarly journals Gyermekkori traumatizáció, disszociáció és szándékos fizikai önsértő viselkedés borderline személyiségzavarban

2017 ◽  
Vol 158 (19) ◽  
pp. 740-747 ◽  
Author(s):  
Katalin Merza ◽  
János Harmatta ◽  
Gábor Papp ◽  
Ildikó Kuritárné Szabó
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Significant Role ◽  
Borderline Personality ◽  
Cumulative Trauma ◽  
Self Injury ◽  
Borderline Patients ◽  
Trauma Score ◽  
Nonsuicidal Self Injury

Abstract: Introduction: Childhood traumatization plays a significant role in the etiology of borderline personality disorder. Studies found a significant association between childhood traumatization, dissociation, and nonsuicidal self-injurious behavior. Aim: The aim of our study was to assess dissociation and nonsuicidal self-injury among borderline inpatients and to reveal the association between childhood traumatization, dissociation, and self-injurious behavior. Method: The sample consisted of 80 borderline inpatients and 73 depressed control patients. Childhood traumatization, dissociation and self-injurious behavior were assessed by questionnaires. Results: Borderline patients reported severe and multiplex childhood traumatization. Cumulative trauma score and sexual abuse were the strongest predictors of dissociation. Furthermore, we have found that cumulative trauma score and dissociation were highly predictive of self-injurious behavior. Conclusion: Our results suggest that self-injurious behavior and dissociation in borderline patients can be regarded as indicators of childhood traumatization. Orv Hetil. 2017; 158(19): 740–747.

scholarly journals Non-Suicidal Self-Injury in Those Dealing With Borderline Personality Disorder or Separation from Parents

2021 ◽  
Author(s):  
Janice Valencia ◽  
Frikson Christian Sinambela
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Literature Search ◽  
Borderline Personality ◽  
Physical Injury ◽  
Self Injury ◽  
Suicidal Intention ◽  
Separation From Parents ◽  
To Receive ◽  
The Relationship

Non-suicidal self-injury (NSSI) is a deliberate destruction of one’s own body tissue without suicidal intention that causes physical injury. NSSI is mostly found in adolescents or young adults (Paul, Tsypes, Eidlitz, Ernhout, & Whitlock, 2015). Borderline personality disorder (BPD) is one of the risk factors for developing NSSI. Individuals with borderline personality disorder also experience invalidation during their childhood, this can cause individuals with BPD to feel that they deserve to receive NSSI as a form of self-punishment (Sadeh et al., 2014). In addition, children who experience parental separation (through death, divorce or employment) have a higher risk factor for developing NSSI (Astrup, Pedersen, Mok, Carr, & Webb, 2017). A literature search was conducted in six databases, and a total of 20 relevant articles were found. The explanation of the relationship between non-suicidal self-injury, borderline personality disorder, and loss of or separation from a parent are explored in this study, in order to increase understanding of how NSSI behaviours can be prevented. Keywords: NSSI, Borderline Personality, Separation Parent

scholarly journals Emotion Differentiation as a Protective Factor Against Nonsuicidal Self-Injury in Borderline Personality Disorder

2013 ◽  
Vol 44 (3) ◽  
pp. 529-540 ◽  
Author(s):  
Landon F. Zaki ◽  
Karin G. Coifman ◽  
Eshkol Rafaeli ◽  
Kathy R. Berenson ◽  
Geraldine Downey
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Protective Factor ◽  
Borderline Personality ◽  
Emotion Differentiation ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Suicidal and Nonsuicidal Self-Injury in Borderline Personality Disorder

2017 ◽  
Author(s):  
Margaret S. Andover ◽  
Heather T. Schatten ◽  
Blair W. Morris
Keyword(s):  
Risk Factors ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Attempted Suicide ◽  
Borderline Personality ◽  
Modifiable Risk Factors ◽  
Self Injury ◽  
Increased Risk ◽  
Suicide Attempted ◽  
Nonsuicidal Self Injury

Individuals diagnosed with borderline personality disorder (BPD) are at an elevated risk for engaging in self-injurious behaviors, including suicide, attempted suicide, and nonsuicidal self-injury (NSSI). The purpose of this chapter is to provide an overview of research on self-injurious behaviors among individuals with BPD. Definitions and prevalence rates are provided for NSSI, suicide, and attempted suicide. Clinical correlates of and risk factors for the behaviors, as well as associations between specific BPD criteria and self-injurious behaviors, are discussed, and a brief overview of treatments focused on reducing self-injurious behaviors among BPD patients is provided. By understanding risk factors for attempted suicide and NSSI in BPD, we can better identify patients who are at increased risk and focus treatment efforts on addressing modifiable risk factors.

Impact of dialectical behavior therapy on incidence of suicidal attempts and non-suicidal self injury among a sample of Egyptian borderline personality disorder patients

2016 ◽  
Vol 33 (S1) ◽  
pp. s270-s270
Author(s):  
A. Abdelkarim ◽  
D. Nagui Rizk ◽  
M. Esmaiel ◽  
H. Helal
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Borderline Personality ◽  
Language And Culture ◽  
Self Injury ◽  
Suicidal Attempts ◽  
Competing Interest ◽  
Almost All

IntroductionDialectical behavior therapy (DBT) is a comprehensive psycho-social treatment developed by Marsha Linehan and originally designed for persons meeting criteria for borderline personality disorder (BPD). DBT is considered as a standard evidence based treatment for suicidal BPD patients in most international guidelines. Although its effectiveness has been proved in multiple studies across different patient populations but almost all the research was conducted in North American or European countries. The current study was the first trial to apply DBT in Egypt with a different language and culture than where the treatment was originally developed.ObjectivesAssessment of incidence of suicidal attempts and non-suicidal self-injury (NSSI) among a sample of Egyptian BPD patients enrolled in an outpatient DBT program.AimThe aim of the current study was to estimate impact of comprehensive DBT on suicidal attempts and NSSI when applied to Egyptian BPD patients.MethodsTwenty-five BPD patients, 4 males and 21 females, were included in a comprehensive outpatient DBT program for one year and incidence of suicidal attempts and NSSI were calculated.ResultsFive patients only attempted suicide again with an incidence of 20% and a mean of one attempt/patient. Seven patients attempted NSSI with an incidence of 28%, an overall 22 incidents and a mean of 3 incidents/patient.ConclusionAlthough this was the first time to apply DBT in an Egyptian population, DBT proved to be an effective psycho-therapeutic intervention for suicidal BPD patients across regardless of different language or culture.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Motives for Nonsuicidal Self-Injury Among Women With Borderline Personality Disorder

2008 ◽  
Vol 196 (3) ◽  
pp. 230-236 ◽  
Author(s):  
Nikolaus Kleindienst ◽  
Martin Bohus ◽  
Petra Ludäscher ◽  
Matthias F. Limberger ◽  
Katrin Kuenkele ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Self Injury ◽  
Nonsuicidal Self Injury
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