@article{ref1,
title="Impulsivity and psychiatric comorbidity as risk factors for suicide attempts in borderline personality disorder",
journal="South African journal of psychiatry",
year="2022",
author="Shorub, Eman and Omar, Abdel Nasser and Elshahawi, Heba and Naoum, Dina and Elsahrawy, Tarek and Elhawary, Yomna",
volume="28",
number="",
pages="1544-1544",
abstract="BACKGROUND: Addressing the risk of suicidality in borderline personality disorder (BPD) is a crucial issue. The notion that impulsive individuals are more likely to plan for suicide attempts is important for many reasons in both theoretical and clinical decision-making. <br><br>AIM: The aim of this study was to investigate potential risks of suicidality in BPD and to correlate it to impulsivity. SETTING: The study was conducted at the Institute of Psychiatry, Ain Shams University and Al Mashfa Private Hospital. <br><br>METHODS: Ninety-one participants were included in the study: 30 patients were diagnosed as BPD without axis I comorbidities, 31 BPD patients had psychiatric comorbidities and 30 healthy subjects were assessed by using Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II), Suicide Behavior Questionnaire-Revised (SBQ-R), the Arabic version of Barratt's Impulsiveness Scale-11 (BIS-11) and Global Assessment of Functioning scale. <br><br>RESULTS: There was a significant difference in suicidality using the SBQ-R between the healthy controls and BPDs without and with comorbidities. Healthy controls showed low suicidality in only 3.3%, while it was higher in both groups of BPD. The total score of BIS was as follows: 62.5 (±10.1 SD) in group A, 79.4 (±12 SD) in group B and 80.3 (±12.5 SD) in group C, which denote mild, moderate and moderate-to-severe degree of impulsivity in group A, B and C, respectively. Suicidality was positively correlated with (AI item: lack of span Attention in Attentional Facet) (r = 0.489, p = 0.006), (PI item: lack of self-control in planning facet) (r = 0.401, p = 0.028), as well as (MII item: lack perseverance in holding off impulsive acts in motor facet) (r = 0.471, p = 0.009). <br><br>CONCLUSION: Proper assessment of associated psychiatric comorbidities and impulsivity among BPD patients will help preventing of future suicidal attempts.<p /> <p>Language: en</p>",
language="en",
issn="1608-9685",
doi="10.4102/sajpsychiatry.v28i0.1544",
url="http://dx.doi.org/10.4102/sajpsychiatry.v28i0.1544"
}