caa a22 4500 60547723X CHVBK 20210128100400.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00787-014-0589-9 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0589-9 Correlates, stability and predictors of borderline personality disorder among previously suicidal youth [Elektronische Daten] [Brian Greenfield, Melissa Henry, Eric Lis, Josh Slatkoff, Jean-Marc Guilé, Geoffrey Dougherty, Xun Zhang, Amir Raz, L. Eugene Arnold, Londa Daniel, Brian Mishara, Robert Koenekoop, Filipa de Castro] This article examines a large cohort of previously suicidal adolescents, identifying those that surpassed threshold criteria for borderline personality disorder (BPD), according to the Abbreviated Diagnostic Interview of Borderlines (Ab-DIB), and determining the stability, correlates and predictors of BPD from early-to-late adolescence. Two hundred and eighty-six youth (mean baseline age 14.6years; SD 1.5), presenting consecutively to a metropolitan pediatric hospital emergency department for evaluation of suicidality, were assessed at initial consultation for Axis I and II disorders and demographic and clinical variables. Two hundred and twenty-nine (80%) were re-assessed for those variables 4years later and 204 (70.3%) had complete data sets at recruitment and follow-up. Previously suicidal youths who met BPD threshold on the Ab-DIB at recruitment were distinguishable at baseline from those who did not in conduct disorder symptoms (p<0.003), lower levels of functioning (p<0.001), drug use (p<0.001), stressful life events (p<0.003) and family relations (p<0.001). The BPD diagnosis was consistent, according to this measure, at baseline and follow-up for 76% of participants. Four groups with respect to borderline pathology (persisting, remitting, emerging and never) were identified (ICC=0.603, 95% CI=0.40-0.78). Persistent BPD status was predictable by older age at presentation (p<0.01) and level of functioning (p<0.05). Eight percent were also suicidal at the 4-year follow-up. Using a self-report measure of BPD, we suggest that suicidal youth can indeed be diagnosed with the disorder at 14years old, supporting the shift from DSM-IV to DSM-5, given what appears to be its temporal stability, differentiation of those suffering with considerable symptomatology or not, and predictors of its status in late adolescence. The low suicidality rate at follow-up indicates a good short-term prognosis. Springer-Verlag Berlin Heidelberg, 2014 Suicide nationallicence Diagnosis nationallicence Adolescence nationallicence Personality disorder nationallicence Greenfield Brian Faculty of Medicine, Montreal Children's Hospital (MCH), McGill University Health Centre (MUHC), Room D-572, 2300 Tupper St, H3H 1P3, Montreal, QC, Canada aut Henry Melissa Department of Psychology and Oncology, Faculty of Medicine, Jewish General Hospital, McGill University, Montreal, QC, Canada aut Lis Eric Psychiatry Resident, MCH, MUHC, Montreal, QC, Canada aut Slatkoff Josh British Columbia Ministry of Children and Family Development, Victoria, BC, Canada aut Guilé Jean-Marc Université de Montréal, and Douglas Mental Health Institute, Montreal, QC, Canada aut Dougherty Geoffrey Faculty of Medicine, MCH, MUHC, and McGill University, Montreal, QC, Canada aut Zhang Xun MCH, MUHC, Montreal, QC, Canada aut Raz Amir Department of Psychiatry, Neurology and Neurosurgery, Faculty of Medicine, McGill University, Montreal, QC, Canada aut Eugene Arnold L. Emeritus of Psychiatry, Ohio State University, Sunbury, OH, USA aut Daniel Londa MCH, MUHC, Montreal, QC, Canada aut Mishara Brian Centre for Research and Intervention on Suicide and Euthanasia (CRISE), Université du Québec a Montréal, Montreal, QC, Canada aut Koenekoop Robert McGill Ocular Genetics laboratory, Chief Paediatric Ophthalmology, Montreal Children's Hospital, Montreal, QC, Canada aut de Castro Filipa National Institute of Public Health, Cuernavaca, Mexico aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/4(2015-04-01), 397-406 1018-8827 24:4<397 2015 24 787 https://doi.org/10.1007/s00787-014-0589-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0589-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Greenfield Brian Faculty of Medicine, Montreal Children's Hospital (MCH), McGill University Health Centre (MUHC), Room D-572, 2300 Tupper St, H3H 1P3, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Henry Melissa Department of Psychology and Oncology, Faculty of Medicine, Jewish General Hospital, McGill University, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Lis Eric Psychiatry Resident, MCH, MUHC, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Slatkoff Josh British Columbia Ministry of Children and Family Development, Victoria, BC, Canada aut NATIONALLICENCE 700 1- Guilé Jean-Marc Université de Montréal, and Douglas Mental Health Institute, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Dougherty Geoffrey Faculty of Medicine, MCH, MUHC, and McGill University, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Zhang Xun MCH, MUHC, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Raz Amir Department of Psychiatry, Neurology and Neurosurgery, Faculty of Medicine, McGill University, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Eugene Arnold L. Emeritus of Psychiatry, Ohio State University, Sunbury, OH, USA aut NATIONALLICENCE 700 1- Daniel Londa MCH, MUHC, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Mishara Brian Centre for Research and Intervention on Suicide and Euthanasia (CRISE), Université du Québec a Montréal, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Koenekoop Robert McGill Ocular Genetics laboratory, Chief Paediatric Ophthalmology, Montreal Children's Hospital, Montreal, QC, Canada aut NATIONALLICENCE 700 1- de Castro Filipa National Institute of Public Health, Cuernavaca, Mexico aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/4(2015-04-01), 397-406 1018-8827 24:4<397 2015 24 787