الفهرس | Only 14 pages are availabe for public view |
Abstract Co-morbid psychiatric disorders in borderline personality disorder can affect the suicidal and self-harm tendency for patients and their safety in general. There is an effect of having a Borderline personality disorder on Suicidal Behavior. Impulsivity degree can affect the suicide risk of borderline personality disorder patients. Social class affects the suicide risk on borderline personality disorder patients. Level of functioning can be associated with suicide risk in borderline personality disorder The purpose of this study was: (1) To identify psychiatric co-morbidities among borderline personality disorder. (2) To identify Risk assessment among borderline personality disorders with and without comorbidities. (3) To find the clinical correlation between suicide behavior and borderline personality disorders. (4) to find the correlation between impulsivity degree and suicide risk in borderline personality disorder. (5) To find the correlation between suicide and level of functioning as well as social class. We concluded from the previously presented data that the most common Axis I comorbidities among borderline personality disorders is mood disorders and substance abuse disorder, depression was found the most common in females followed by anxiety disorders while among males the substance abuse disorders was the most common. We also concluded that BPD with comorbidities has higher suicidality as well as the degree of impulsivity when compared to BPD patients without comorbidities and that they both are more suicidal and more impulsive than the healthy controls. Considering the factors affecting suicidality in BPD, we found that for BPD without comorbidities past and current history of abuse, the low scores in global level of functioning and the socioeconomic class are strongly related. We found a positive correlation between repeated attempts/threats of suicide and attention span abilities in these patients, we also found poor control of motor actions of these cases, and there is also a correlation between lifetime suicide ideation or attempt and lack of self-control in planning for the future. While studying the BPD with comorbidities, factors affecting the high suicidality was the age which was shown with a higher mean than the controls (late twenties), when the duration of illness increases the risk increases, the childhood history of abuse, the positive family history of psychiatric disorders are also factors. The data we collected showed weak negative correlation between the suicidality of these patients and the ability of possessing good cognitive ability for complexity, which means that the higher the suicidality the less cognitive complexity of these patients as well as its relation to the frequency of suicidal ideation over the past 12 months. Our results showed no correlation in this group of patient between suicidality and level of functioning or the socioeconomic class. |