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Published Online: 1 October 2010

Impact of Co-Occurring Posttraumatic Stress Disorder on Suicidal Women With Borderline Personality Disorder

Abstract

Objective:

The authors examined the impact of co-occurring posttraumatic stress disorder (PTSD) on women with borderline personality disorder who had attempted suicide in the preceding year.

Method:

Female borderline personality disorder outpatients (N=94) either with (N=53, 56.4%) or without PTSD (N=41, 43.6%) and with recent and repeated suicidal or self-injurious behavior were compared in nine areas of functioning.

Results:

Borderline personality disorder patients with and without PTSD differed in the lethality, intent, and triggers for intentional self-injury, trauma history, emotion regulation, and axis I comorbidity. The two groups did not differ in borderline personality disorder severity, axis II comorbidity, psychosocial functioning, or mental health or medical treatment utilization.

Conclusions:

The results indicate greater impairment among individuals with both disorders and suggest that there are some unique features associated with co-occurring borderline personality disorder and PTSD that require further attention in assessment and treatment.

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Information & Authors

Information

Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 1210 - 1217
PubMed: 20810470

History

Received: 25 August 2009
Revision received: 9 February 2010
Revision received: 6 April 2010
Accepted: 14 April 2010
Published online: 1 October 2010
Published in print: October 2010

Authors

Details

Melanie S. Harned, Ph.D.
From the Department of Psychology, University of Washington; and the Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, N.J.
Shireen L. Rizvi, Ph.D.
From the Department of Psychology, University of Washington; and the Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, N.J.
Marsha M. Linehan, Ph.D.
From the Department of Psychology, University of Washington; and the Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, N.J.

Notes

Address correspondence and reprint requests to Dr. Harned, Department of Psychology, University of Washington, 3935 University Way NE, Seattle, WA 98105; [email protected] (e-mail).

Funding Information

Supported by NIMH grant MH-34486 to Dr. Linehan.

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