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Types of Borderline Personality Disorder (BPD) in Patients Admitted for Suicide-Related Behavior

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Abstract

Borderline personality disorder (BPD) is determined by the presence of any five of nine diagnostic criteria, leading patients with heterogeneous clinical features to be diagnosed under the same label without an individualized clinical and therapeutic approach. In response to this problem, Oldham proposed five types of BPD: affective, impulsive, aggressive, dependent and empty. The present study categorized a sample of BPD patients hospitalized due to suicide-related behavior according to Oldham’s BPD proposed subtypes, and evaluated their clinical and demographic characteristics. Data were obtained from a sample of 93 female patients admitted to the « Dr. Braulio A. Moyano » Neuropsychiatric Hospital following suicide-related behavior. A total of 87 patients were classified as affective (26 %), impulsive (37 %), aggressive (4 %), dependent (29 %), and empty (5 %). Patients classified as dependent were significantly older at the time of first suicide-related behavior (p = 0.0008) and reported significantly less events of previous suicide-related behaviors (p = 0.03), while patients classified as impulsive reported significantly higher rates of drug use (p = 0.02). Dependent, impulsive and affective BPD types were observed most frequently in our sample. Findings are discussed specific to demographic and clinical implications of BPD patients reporting concurrent suicidal behavior.

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Acknowledgments

This study has no financial support. The authors report no financial or other relationship relevant to the subject of this article.

Conflict of interest

All authors declare that they have no conflicts of interest.

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Authors and Affiliations

  1. 3a Cátedra de Farmacología, Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, piso 9, C1121ABG, Ciudad de Buenos Aires, Buenos Aires, Argentina

    Federico Rebok, Germán L. Teti & Federico M. Daray

  2. Servicio de Guardia, Hospital «Dr. Braulio A. Moyano», Buenos Aires, Argentina

    Federico Rebok, Germán L. Teti, Adrián P. Fantini, Christian Cárdenas-Delgado & María N. C. Derito

  3. Carrera de Investigador, Gobierno de La Ciudad de Buenos Aires, Buenos Aires, Argentina

    Federico Rebok

  4. Department of Psychological Science, University of Arkansas, Fayetteville, AR, USA

    Sasha M. Rojas

  5. Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina

    Federico M. Daray

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  1. Federico Rebok
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  2. Germán L. Teti
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Correspondence to Federico M. Daray.

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Rebok, F., Teti, G.L., Fantini, A.P. et al. Types of Borderline Personality Disorder (BPD) in Patients Admitted for Suicide-Related Behavior. Psychiatr Q 86, 49–60 (2015). https://doi.org/10.1007/s11126-014-9317-3

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  • DOI: https://doi.org/10.1007/s11126-014-9317-3

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