TY - JOUR PY - 2015// TI - Borderline personality disorder: patterns of self-harm, reported childhood trauma and clinical outcome JO - BJPsych open A1 - McFetridge, Mark Andrew A1 - Milner, Rebecca A1 - Gavin, Victoria A1 - Levita, Liat SP - 18 EP - 20 VL - 1 IS - 1 N2 - Consecutive admissions of 214 women with borderline personality disorder were investigated for patterns of specific forms of self-harm and reported developmental experiences. Systematic examination of clinical notes found that 75% had previously reported a history of childhood sexual abuse. These women were more likely to self-harm, and in specific ways that may reflect their past experiences. Despite this, treatment within a dialectical behaviour therapy-informed therapeutic community leads to relatively greater clinical gains than for those without a reported sexual abuse trauma history. Notably, greater behavioural and self-reported distress and dissociation were not found to predict poor clinical outcome. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.

Language: en

LA - en SN - 2056-4724 UR - http://dx.doi.org/10.1192/bjpo.bp.115.000117 ID - ref1 ER -