Non-suicidal self-injury with and without borderline personality disorder: Differences in self-injury and diagnostic comorbidity

Psychiatry Research

Volumn 230, Issue 1, 2015, Pages 28-35

  Turner, Brianna J ^a,b   Dixon Gordon, Katherine L ^c   Austin, Sara B ^a   Rodriguez, Marcus A ^d   Zachary Rosenthal, M ^d,e   Chapman, Alexander L ^a  

^a SIMON FRASER UNIVERSITY   (Canada)

^b UNIVERSITY OF WASHINGTON MEDICAL CENTER   (United States)

^c UNIVERSITY OF MASSACHUSETTS   (United States)

^d DUKE UNIVERSITY   (United States)

^e DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Anxiety; Comorbidity; Depression; Diagnosis; Emotion regulation; Self harm; Suicidal ideation

Indexed keywords

ADULT; ANXIETY DISORDER; ARTICLE; AUTOMUTILATION; BITE; BORDERLINE STATE; BURN; COMORBIDITY; CONTROLLED STUDY; DEPRESSION; DISEASE SEVERITY; EATING DISORDER; EMOTIONAL DISORDER; FEMALE; HEAD BANGING; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; MOOD; NON-SUICIDALSELF-INJURY; PREDICTION; PRIORITY JOURNAL; PSYCHOSIS; SCORING SYSTEM; SELF REPORT; SELF-PUNCHING; SELF-SCRATCHING; SEMI STRUCTURED INTERVIEW; SKIN ABRASION; SKIN CARVING; SKIN DISEASE; SUBSTANCE ABUSE; SUICIDAL IDEATION; BORDERLINE PERSONALITY DISORDER; CANADA; COMPARATIVE STUDY; MIDDLE AGED; PROCEDURES; PSYCHOLOGIC TEST; PSYCHOLOGY; SELF-INJURIOUS BEHAVIOR; UNITED STATES;

ADULT; BORDERLINE PERSONALITY DISORDER; CANADA; COMORBIDITY; DEPRESSION; FEMALE; HUMANS; INTERVIEW, PSYCHOLOGICAL; MALE; MIDDLE AGED; SELF REPORT; SELF-INJURIOUS BEHAVIOR; SUICIDAL IDEATION; UNITED STATES;

EID: 84942297094     PISSN: 01651781     EISSN: 18727123     Source Type: Journal    
DOI: 10.1016/j.psychres.2015.07.058     Document Type: Article

References (53)

1. American Psychiatric Association Diagnostic and statistical manual of mental disorders 2013, APA, Washington, DC, 5th ed.
2. Andover M.S., Pepper C.M., Ryabchenko K.A., Orrico E.G., Gibb B.E. Self-mutilation and symptoms of depression, anxiety, and borderline personality disorder. Suicide Life-Threat. Behav. 2005, 35:581-591.
3. Anestis M., Khazem L., Law K. How many times and how many ways: the impact of number of non-suicidal self-injury methods on the relationship between non-suicidal self-injury frequency and suicidal behavior. Suicide Life-Threat. Behav. 2015, 45:164-177.
4. Asarnow J.R., Porta G., Spirito A., Emslie G., Clarke G., Wagner K.D., Brent D.A. Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA study. J. Am. Acad. Child Adolesc. Psychiatry 2011, 50:772-781.
5. Beck S.M., Perry J.C. The definition and function of interview structure in psychiatric and psychotherapeutic interviews. Psychiatry 2008, 71:1-12.
6. Beck A., Steer R.A., Brown G.K. Beck Depression Inventory-II (BDI-II) 1996, The Psychological Corporation, San Antonio, TX.
7. Bentley K.H., Nock M.K., Barlow D.H. The four-function model of nonsuicidal self-injury: key directions for future research. Clin. Psychol. Sci. 2014, 2:638-656.
8. Bracken-Minor K.L., McDevitt-Murphy M.E. Differences in features of non-suicidal self-injury according to borderline personality disorder screening status. Arch. Suicide Res. 2014, 18:88-103.
9. Chapman A.L., Specht M.W., Cellucci T. Borderline personality disorder and deliberate self-harm: does experiential avoidance play a role?. Suicide Life-Threat. Behav. 2005, 35:388-399.
10. Darche M.A. Psychological factors differentiating self-mutilating and non-self-mutilating adolescent inpatient females. Psychiatr. Hosp. 1990, 21:31-35.
11. Dulit R.A., Ryer M.R., Leon A.C., Brodsky B.S., Frances A.J. Clinical correlates of self-mutilation in borderline personality disorder. Am. J. Psychiatry 1994, 151:1305-1311.
12. Favazza A.R., De Rosear L., Conterio K. Self mutilation and eating disorders. Suicide Life-Threat. Behav. 1989, 19:352-361.
13. First M.B., Gibbon M., Spitzer R.L., Williams J.B.W., Benjamin L.S. Structured Clinical Interview for DSM-IV Axis II Personality Disorders, (SCID-II) 1997, American Psychiatric Press, Inc, Washington, D.C.
14. First, M.B., Spitzer, R.L., Gibbon, M., Williams, J.B.W., 2002. Structured Clinical Interview for DSM-IV-TR Axis I Disorders. Research version. Non-patient edition (SCID-I/NP). New York State Psychiatric Institute, New York.
15. Fliege H., Kocalevent R.D., Walter O.B., Beck S., Gratz K.L., Gutierrez P.M., Klapp B.F. Three assessment tools for deliberate self-harm and suicide behavior: evaluation and psychopathological correlates. J. Psychosom. Res. 2006, 61:113-121.
16. Glenn C.R., Klonsky E.D. Emotion dysregulation as a core feature of borderline personality disorder. J. Personal. Disord. 2009, 23:20-28.
17. Glenn C.R., Klonsky E.D. Nonsuicidal self-injury disorder: an empirical investigation in adolescent psychiatric patients. J. Clin. Child Adolesc. Psychol. 2013, 42:496-507.
18. Gollust S.E., Eisenberg D., Golberstein E. Prevalence and correlates of self-injury among university students. J. Am. College Health 2008, 56:491-498.
19. Gratz K.L. Measurement of deliberate self-harm: preliminary data on the Deliberate Self-Harm Inventory. J. Psychopathol. Behav. Assess. 2001, 23:253-263.
20. Gratz, K.L., Dixon-Gordon, K.L., Chapman, A.L., Tull, M.T., 2015. Diagnosis and Characterization of DSM-5 Nonsuicidal Self-injury Disorder Using the Clinician-Administered Nonsuicidal Self-injury Disorder Index. Assessment [Epub ahead of print].
21. Gratz K.L., Dixon-Gordon K.L., Tull M.T. Predictors of treatment response to an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Personal. Disord. Theory Res. Treat. 2014, 5:97-107.
22. Gratz K.L., Gunderson J.G. Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behav. Ther. 2006, 37:25-35.
23. Gratz K.L., Roemer L. Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J. Psychopathol. Behav. Assess. 2004, 26:41-54.
24. Harned M.S., Chapman A.L., Dexter-Mazza E.T., Murray A., Comtois K.A., Linehan M.M. Treating co-occurring Axis I disorders in recurrently suicidal women with borderline personality disorder: a 2-year randomized trial of dialectical behavior therapy versus community treatment by experts. J. Consult. Clin. Psychol. 2008, 76:1068-1075.
25. Herpertz S. Self-injurious behavior: psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatr. Scand. 1995, 91:57-68.
26. In-Albon T., Ruf C., Schmid M. Proposed diagnostic criteria for the DSM-5 of nonsuicidal self-injury in female adolescents: diagnostic and clinical correlates. Psychiatry J. 2013, Article ID: 159208.
27. International Society for the Study of Self-Injury, 2007. About Self-Injury. Retrieved from (05.07.14). http://www.isssweb.org/aboutnssi.php.
28. Klonsky E.D., Olino T.M. Identifying clinically distinct subgroups of self-injurers among young adults: a latent class analysis. J. Consult. Clin. Psychol. 2008, 76:22-27.
29. Klonsky E.D., Oltmanns T.F., Turkheimer E. Deliberate self-harm in a nonclinical population: prevalence and psychological correlates. Am. J. Psychiatry 2003, 160:1501-1508.
30. Leckman J.F., Sholomskas D., Thompson W.D. Best estimate of lifetime psychiatric diagnosis: a methodological study. Arch. Gen. Psychiatry 1982, 39:879-883.
31. Linehan M. Cognitive Behavioral Treatment of Borderline Personality Disorder 1993, Guilford Press, New York.
32. Lloyd-Richardson E.E., Perrine N., Dierker L., Kelley M.L. Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychol. Med. 2007, 37:1183-1192.
33. Muehlenkamp J.J. Self-injurious behavior as a separate clinical syndrome. Am. J. Orthopsychiatry 2005, 75:324-333.
34. Nock M.K., Holmberg E.B., Photos V.I., Michel B.D. Self-injurious thoughts and behaviors interview: development, reliability, and validity in an adolescent sample. Psychol. Assess. 2007, 19:309-317.
35. Nock M.K., Joiner T.E., Gordon K.H., Lloyd-Richardson E., Prinstein M.J. Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res. 2006, 144:65-72.
36. Odelius C.B., Ramklint M. Clinical utility of proposed non-suicidal self-injury diagnosis-a pilot study. Nordic J. Psychiatry 2014, 68:66-71.
37. Sansone R.A., Gaither G.A., Songer D.A. Self-harm behaviors across the life cycle: a pilot study of inpatients with borderline personality disorder. Compr. Psychiatry 2002, 43:215-218.
38. Sansone R.A., Gaither G.A., Songer D.A., Allen J.L. Multiple psychiatric diagnoses and self-harm behavior. Int. J. Psychiatry Clin. Pract. 2005, 9:41-44.
39. Selby E.A., Bender T.W., Gordon K.H., Nock M.K., Joiner T.E. Non-suicidal self-injury (NSSI) disorder. Personal. Disord.: Theory. Res. Treat. 2012, 3:167-175.
40. Turner B.J., Arya S., Chapman A.L. Non-suicidal self-injury in Asian versus Caucasian university students: who, how and why?. Suicide Life-Threat. Behav. 2015, 45:199-216.
41. Turner B.J., Layden B.K., Butler S.M., Chapman A.L. How often, or how many ways: clarifying the relationship between non-suicidal self-injury and suicide. Arch. Suicide Res. 2013, 17:397-415.
42. Ward A., Bender T.W., Gordon K.H., Nock M.K., Joiner T.E., Selby E.A. Post-therapy functional impairment as a treatment outcome measure in non-suicidal self-injury disorder using archival data. Personal. Ment. Health 2013, 7:69-79.
43. Weertman A., Arntz A., Dreessen L., van Velzen C., Vertommen S. Short interval interrater reliability of the Dutch version of the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II). J. Personal. Disord. 2003, 17:562-567.
44. Wilkinson P., Goodyer I. Non-suicidal self-injury. Eur. Child Adolesc. Psychiatry 2011, 20:103-108.
45. Wilkinson P., Kelvin R., Roberts C., Dubicka B., Goodyer I. Clinical and psychosocial predictors of suicide attempts and nonsuicidal self-injury in the adolescent depression antidepressants and psychotherapy trial (ADAPT). Am. J. Psychiatry 2011, 168:495-501.
46. Zanarini M.C., Frankenburg F.R., Dubo E.D., Sickel A.E., Trikha A., Levin A., Reynolds V. Axis I comorbidity of borderline personality disorder. Am. J. Psychiatry 1998, 155:1733-1739.
47. Zanarini M.C., Frankenburg F.R., Hennen J., Reich D.B., Silk K.R. Axis I comorbidity in patients with borderline personality disorder: 6-year follow-up and prediction of time to remission. Am. J. Psychiatry 2004, 161:2108-2114.
48. Zanarini M.C., Frankenburg F.R., Hennen J., Reich D.B., Silk K.R. Prediction of the 10-year course of borderline personality disorder. Am. J. Psychiatry 2006, 163:827-832.
49. Zanarini M.C., Skodol A.E., Bender D., Dolan R., Sanislow C., Schaefer E., Gunderson J.G. The collaborative longitudinal personality disorders study: reliability of axis I and II diagnoses. J. Personal. Disord. 2000, 14:291-299.
50. Zetterqvist M., Lundh L.G., Dahlström Ö., Svedin C.G. Prevalence and function of non-suicidal self-injury (NSSI) in a community sample of adolescents, using suggested DSM-5 criteria for a potential NSSI disorder. J. Abnorm. Child Psychol. 2013, 41:759-773.
51. Zimmerman M. Diagnosing personality disorders: a review of issues and research methods. Arch. Gen. Psychiatry 1994, 51:225-245.
52. Zimmerman M., Mattia J.I. Axis I diagnostic comorbidity and borderline personality disorder. Compr. Psychiatry 1999, 40:245-252.
53. Zlotnick C., Mattia J.I., Zimmerman M. Clinical correlates of self-mutilation in a sample of general psychiatric patients. J. Nerv. Ment. Dis. 1999, 187:296-301.