Functions and timescale of self-cutting in participants suffering from borderline personality disorder |
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Authors: | Perroud Nader Dieben Karen Nicastro Rosetta Muscionico Michel Huguelet Philippe |
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Affiliation: | Department of Psychiatry, Division of Adult Psychiatry, Rue du 31-Décembre 8, Geneva, Switzerland. nader.perroud@hcuge.ch |
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Abstract: | The purpose of this study was to examine the meanings and timescale of self-cuttings in a cohort of 22 outpatients suffering from borderline personality disorder. Sixty-one events were recorded using the newly developed self-cutting-checklist (SCUC) designed to investigate the severity of self-cuttings, and intent to die, suicidal ideation, inner tension, sense of relief and anesthesia, and consequences associated with this behavior. We found that typical self-cuttings were associated with a decrease in inner tension and suicidal ideation. Moreover self-cuttings associated with a desire to die differentiated from those associated with no desire to die by significantly less reduction in inner tension. Finally, self-cuttings occurred significantly more often during evenings and nights than during daytime. In conclusion, self-cuttings can be reasonably addressed by self-report. Attention to specific issues such as intent to die and the time of the self-cuttings may improve the outcome of these particularly high-risk subjects. |
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