@article{ref1,
title="Maladaptive personality traits of inpatients with self-harm behavior and its association with suicide intent severity",
journal="Psychodynamic psychiatry",
year="2023",
author="Teck Sng Tay, Andre and Teck Cheng, Samuel Eng",
volume="51",
number="3",
pages="350-373",
abstract="INTRODUCTION: Inpatients with self-harm behavior utilize a high proportion of health care resources, and determining their suicide risk may be challenging. This study examines how maladaptive personality traits in people who self-harm are associated with suicide intent severity. <br><br>METHODS: This was a 5-month cross-sectional study. The International Personality Disorders Examination (IPDE) ICD-10 questionnaire, Beck's Suicide Intent Scale (SIS), and the Depression Anxiety Stress Scale (DASS) 21 were administered. Sociodemographic and clinical data were recorded with STATA version 10.1 for statistical analyses. <br><br>RESULTS: Thirty-seven out of 40 (92.50%) inpatients participated in this study. About two-thirds (n = 24, 64.86%) were first-time self-harmers, with self-poisoning (n = 33, 89.19%) being the most common method. About two-thirds (n = 24, 64.86%) had low to moderate suicide intent. The most common diagnosis was adjustment disorder (n = 21, 56.76%). Around one-third had at least severe ratings for depressive, anxiety, and stress symptoms. All screened positive for at least one class of maladaptive personality traits, with the majority (n = 33, 89.19%) having more than one class of maladaptive personality traits. The three most prevalent classes of maladaptive personality traits were anankastic (n = 28, 75.68%), schizoid (n = 25, 67.57%), and paranoid (n = 23, 62.16%). Only dissocial traits were positively correlated with suicide intent severity (regression coefficient = 1.37, p =.017) following adjustment for the most important confounder, DASS 21. <br><br>DISCUSSION: Maladaptive personality traits were common in inpatients with self-harm behavior, with dissocial traits being positively correlated with suicide intent severity. This finding may inform suicide prevention strategies for patients who self-harm.<p /> <p>Language: en</p>",
language="en",
issn="2162-2590",
doi="10.1521/pdps.2023.51.3.350",
url="http://dx.doi.org/10.1521/pdps.2023.51.3.350"
}