@article{ref1,
title="Stress response in suicide attempters with borderline personality disorder: the role of behavioral problems in childhood",
journal="Psychiatry interpersonal and biological processes",
year="2020",
author="Itzhaky, Liat and Galfalvy, Hanga and Keilp, John G. and Gratch, Ilana and Brodsky, Beth S. and Stanley, Barbara H.",
volume="ePub",
number="ePub",
pages="1-10",
abstract="<i>Objective</i>: Suicidal individuals are a heterogeneous population and may differ in systematic ways in their responsiveness to stress. The primary aim of the present study was to identify whether a different pattern of physiological stress response exists among adult suicide attempters with a history of behavioral problems during childhood and adolescence, which earlier studies have related to both decreased activity of the HPA axis and to suicidal behaviors.<i>Method</i>: Seventy-eight participants with Borderline Personality Disorder were assessed using the SCID-II, and completed self-report measures assessing their history of suicide attempts, history of aggressive behaviors, depressive symptoms, history of lifetime abuse and demographics. Participants' cortisol reactivity was assessed using the <i>Trier Social Stress Test</i>.<i>Results</i>: Analyses indicated that suicide attempters with a history of behavioral problems in youth (n = 30) had a significantly lower response to stress than both suicide attempters without such a history (n = 26) and non-attempters (n = 22), when controlling for lifetime history of abuse. The groups did not differ in basal cortisol.<i>Conclusions</i>: These findings suggest a unique subtype of suicide attempter among those with Borderline Personality Disorder, characterized by a blunted physiological stress response.<p /> <p>Language: en</p>",
language="en",
issn="0033-2747",
doi="10.1080/00332747.2020.1716439",
url="http://dx.doi.org/10.1080/00332747.2020.1716439"
}