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Journal Article

Citation

Evren C, Cınar O, Evren B, Celik S. Psychiatry Res. 2011; 190(1): 126-131.

Affiliation

Bakirkoy State Hospital for Mental Health and Neurological Disorders, Alcohol and Drug Research, Treatment and Training Center (AMATEM), Istanbul, Turkey.

Copyright

(Copyright © 2011, Elsevier Publishing)

DOI

10.1016/j.psychres.2011.08.002

PMID

21872941

Abstract

The aim of this study was to investigate the relationship between severity of borderline personality features and history of suicide attempt (HSA) in male substance-dependent inpatients and the effect of anger, hostility and aggression on this relationship. Further, the effect of some variables that may be related with suicide and/or borderline personality, such as age at regular substance use, substance of dependence (alcohol/drug), depression and both state and trait anxieties, were controlled. Participants were consecutively admitted 200 male substance-dependent inpatients. Patients were investigated with the Borderline Personality Inventory (BPI), the Buss-Perry Aggression Questionnaire (AQ), the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). Among substance-dependent inpatients, 33.0% (n=66) were considered as group with HSA. Employment status, marital status and duration of education did not differ between groups, whereas current age and age at onset of regular substance use were lower in group with HSA. Mean scores of BPI, AQ and its subscales (anger, hostility and physical/verbal aggression), BDI and STAI were higher in the HSA group. In addition, the rates of drug dependency and borderline personality disorder were higher in this group. The severity of borderline personality symptoms was highly correlated with subscales of AQ, depression and anxiety, whereas it was negatively correlated with age onset of regular substance use. The severity of anger and borderline personality features predicted HSA in the logistic regression model. Results suggest that, to reduce the risk of suicide attempt among substance dependents, the feeling of anger must be the target of evaluation and treatment among those with borderline personality features.


Language: en

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