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Suicide Attempts in Major Depressed Patients with Personality Disorder
Authors:Mario Amore MD  Marco Innamorati PsyD  Cristina Di Vittorio MD  Igor Weinberg MD  Gustavo Turecki MD  PhD  Leo Sher MD  Joel Paris MD  PhD  Paolo Girardi MD  Maurizio Pompili MD  PhD
Affiliation:1. Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genova, , Genova, Italy;2. Division of Psychiatry, Department of Neurosciences, University of Parma, , Parma, Italy;3. McLean Hospital–Harvard Medical School, , Boston, MA, USA;4. Department of Psychiatry, McGill University, , Montreal, QC, Canada;5. James J. Peters VA Medical Center and Mount Sinai School of Medicine, , New York, NY, USA;6. Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, , Rome, Italy
Abstract:Suicide attempters who met criteria for borderline personality disorder (BPD) comorbid with major depressive disorder (MDD) were compared to both suicide attempters suffering from MDD alone and to attempters with comorbid MDD and other personality disorders (PD). Participants were 239 (158 patients with comorbid PD and 81 patients with MDD without comorbidity) inpatients consecutively admitted after a suicide attempt made in the last 24 hours. Suicide attempters with comorbid MDD and BPD had more frequent previous suicide attempts and were more likely to have a history of aggressive behaviors and alcohol and drug use disorders compared with patients suffering from MDD without Axis II comorbidity.
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