TY - JOUR
T1 - Changes in self-destructiveness of borderline patients in psychotherapy
T2 - A prospective follow-up
AU - Sabo, Alex N.
AU - Gunderson, John G.
AU - Najavits, Lisa M.
AU - Chauncey, Deborah
AU - Kisiel, Cassandra
PY - 1995/1/1
Y1 - 1995/1/1
N2 - Thirty-seven female inpatients with borderline personality disorder were followed prospectively for up to 5 years to assess changes in two forms of self-destructiveness: Suicidal behavior/ideation, and self-harm behavior/ideation. It was found that suicidal behavior declined significantly at 1-, 2-, 3-, 4-, and 5-year follow-up; self-harm behavior showed trends but no significant decline over 5 years. Ideation (both suicidal ideation and self-harm) did not decline notably. Three alternate courses of self-harm behavior are identified: "fluctuating," "consistently low," and "steadily declining." The majority of patients fell in the fluctuating category. The fluctuating group showed higher baseline dysphoria than did the consistently low group, while the latter reported higher baseline drug use. Inter correlations showed that self-harm behavior and suicidal behavior were not associated, nor were suicidal behavior and suicidal ideation. Clinical and research implications are discussed.
AB - Thirty-seven female inpatients with borderline personality disorder were followed prospectively for up to 5 years to assess changes in two forms of self-destructiveness: Suicidal behavior/ideation, and self-harm behavior/ideation. It was found that suicidal behavior declined significantly at 1-, 2-, 3-, 4-, and 5-year follow-up; self-harm behavior showed trends but no significant decline over 5 years. Ideation (both suicidal ideation and self-harm) did not decline notably. Three alternate courses of self-harm behavior are identified: "fluctuating," "consistently low," and "steadily declining." The majority of patients fell in the fluctuating category. The fluctuating group showed higher baseline dysphoria than did the consistently low group, while the latter reported higher baseline drug use. Inter correlations showed that self-harm behavior and suicidal behavior were not associated, nor were suicidal behavior and suicidal ideation. Clinical and research implications are discussed.
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U2 - 10.1097/00005053-199506000-00004
DO - 10.1097/00005053-199506000-00004
M3 - Article
C2 - 7798085
AN - SCOPUS:0029002605
SN - 0022-3018
VL - 183
SP - 370
EP - 376
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 6
ER -