Suicide in borderline personality disorder: A meta-analysis

  title={Suicide in borderline personality disorder: A meta-analysis},
  author={Maurizio Pompili and Paolo Girardi and Amedeo Ruberto and Roberto Tatarelli},
  journal={Nordic Journal of Psychiatry},
  pages={319 - 324}
Suicide is the major cause of death among patients with borderline personality disorder; however, the literature on completed suicides in such disorder is inconclusive, as suicide rates vary greatly among cohorts of patients. We searched MedLine, Excerpta Medica and PsycLit from 1980 to 2005 to identify papers dealing with suicide in borderline personality disorder. We also searched the World Health Statistics Annual to ascertain the suicide rate in the age groups for specific years and country… 
Comorbid bipolar disorder and borderline personality disorder and history of suicide attempts.
The patients diagnosed with both bipolar and borderline personality disorder were significantly more likely to have made a prior suicide attempt and the co-occurrence of these disorders conferred an additive risk, although the influence of borderline Personality disorder was greater than that of bipolar disorder.
Temperament and character of suicide attempters.
Personality and Suicidal Behavior in Old Age: A Systematic Literature Review
An inability to adapt to the changes occurring in late life may help explain the association between suicide in old age and higher conscientiousness as well as obsessive–compulsive and avoidant personality disorders.
Stress Response in Suicide Attempters with Borderline Personality Disorder: The Role of Behavioral Problems in Childhood
Findings suggest a unique subtype of suicide attempter among those with Borderline Personality Disorder, characterized by a blunted physiological stress response.
Suicidal Imagery in Borderline Personality Disorder and Major Depressive Disorder.
It is demonstrated for the first time that suicide-related mental imagery occurs in BPD and is associated with suicidal ideation, highlighting the importance of assessing mental imagery related to suicide in clinical practice.
The incremental validity of borderline personality disorder relative to major depressive disorder for suicidal ideation and deliberate self-harm in adolescents.
The findings support the clinical impression that BPD should be evaluated in inpatient samples of adolescents either through intake interviews or more structured assessments.
How to Deal with Personality in Suicidal Behavior
There is a large variability in the personality of suicide attempters, but many personality traits and disorders have been consistently associated with suicidal behavior. In clinical settings,
The hidden borderline patient: patients with borderline personality disorder who do not engage in recurrent suicidal or self-injurious behavior.
BACKGROUND Despite the significant psychosocial morbidity associated with borderline personality disorder (BPD), its underrecognition is a significant clinical problem. BPD is likely underdiagnosed,


Suicidality in DSM IV cluster B personality disorders. An overview.
It was showed that some personality disorders have a stronger link to suicide and that identifiable risk factors may be used for the development of preventive measures.
An Empirical Study of Borderline Personality Disorder and Psychiatric Suicides
There was a progressive increase in proportion of borderline suicides during the time period and the overall proportion of BPD, however, was only 12%, indicating that borderline patients are not seriously overrepresented among patients committing psychiatric suicides.
Factors Associated with Completed Suicide in Borderline Personality Disorder
  • G. Kullgren
  • Psychology, Medicine
    The Journal of nervous and mental disease
  • 1988
Male patients who killed themselves showed a more extensive suicidal behavior at admission than did their matched control subjects, and DIB profiles differed only with respect to slightly higher scores on the affect section among patients who committed suicide.
Risk factors for suicidal behavior in borderline personality disorder.
Risk factors for suicidal behavior in patients with borderline personality disorder include older age, prior suicide attempts, antisocial personality, impulsive actions, and depressive moods but not comorbid affective disorder, alcoholism, or drug use disorders.
Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: a comparative study.
Comorbidity of borderline personality disorder with major depressive episode increases the number and seriousness of suicide attempts and Hopelessness predicted lethal intent in all three groups and predicted objective planning in the group with both disorders.
The longitudinal pattern of suicidal behaviour in borderline personality disorder: a prospective follow‐up study
BPD patients with a history of suicide attempts were more suicidal at index admission, continued to be so over the follow‐up period and differed systematically in an unfavourable direction from other BPD patients on the major outcome measures.
Adolescent suicide attempts.
The conditions of 40 adolescents in treatment following a suicide attempt were diagnosed according to the multiaxial classification of the American Psychiatric Association's proposed third edition of the diagnostic and statistical manual and the typical patient was a polydrug-abusing girl with a borderline personality disorder and a superimposed major depressive disorder.
Comorbidity of borderline personality disorder.
The DSM-III BPD appears to constitute a very heterogeneous category with unclear boundaries, overlapping with many different disorders but without a specific association with any one Axis I disorder.
Borderline Personality Disorder in Young Swedish Suicides
Borderline personality disorder (BPD) was found in 19 subjects (33%) and when compared with subjects with other disorders, BPD subjects showed more antisocial traits and substance use disorders.
A 27-year follow-up of patients with borderline personality disorder.
Most patients showed significant improvement as compared to a previous 15-year follow-up, with only five currently meeting criteria for BPD, and this subgroup had a significantly poorer outcome on all measures.