TY - JOUR
T1 - Psychotic experiences and suicide attempt risk in common mental disorders and borderline personality disorder
AU - Kelleher, I.
AU - Ramsay, H.
AU - DeVylder, J.
N1 - Publisher Copyright:
© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Objective: Recent research has demonstrated a strong relationship between psychotic experiences and suicidal behaviour. No research to date, however, has investigated the role of borderline personality disorder (BPD) in this relationship, despite the fact that BPD is highly comorbid with common mental disorders and is associated with both recurrent suicidal behaviour and psychotic experiences. This paper examined the relationship between psychotic experiences and suicide attempts, including interrelationships with BPD and common mental disorders. Method: We used the 2007 Adult Psychiatric Morbidity Study, a stratified, multistage probability sample of households in England, which recruited a nationally representative sample aged 16 years and older. Participants were assessed for common mental disorders, BPD (clinical and subclinical), suicidal behaviour, and psychotic experiences. Results: Approximately 4% of the total sample (n = 323) reported psychotic experiences. Psychotic experiences were associated with increased odds of suicide attempts in individuals with BPD (OR = 2.23, 95% CI = 1.03–4.85), individuals with a common mental disorder (OR = 2.47, 95% CI = 1.37–4.43), individuals without a common mental disorder (OR = 3.99, 95% CI = 2.47–6.43), and individuals with neither a common mental disorder nor BPD (OR = 3.20, 95% CI = 1.71–5.98). Conclusion: Psychotic experiences are associated with high odds of suicidal behaviour in individuals with and without psychopathology. This relationship is not explained by clinical or subclinical BPD.
AB - Objective: Recent research has demonstrated a strong relationship between psychotic experiences and suicidal behaviour. No research to date, however, has investigated the role of borderline personality disorder (BPD) in this relationship, despite the fact that BPD is highly comorbid with common mental disorders and is associated with both recurrent suicidal behaviour and psychotic experiences. This paper examined the relationship between psychotic experiences and suicide attempts, including interrelationships with BPD and common mental disorders. Method: We used the 2007 Adult Psychiatric Morbidity Study, a stratified, multistage probability sample of households in England, which recruited a nationally representative sample aged 16 years and older. Participants were assessed for common mental disorders, BPD (clinical and subclinical), suicidal behaviour, and psychotic experiences. Results: Approximately 4% of the total sample (n = 323) reported psychotic experiences. Psychotic experiences were associated with increased odds of suicide attempts in individuals with BPD (OR = 2.23, 95% CI = 1.03–4.85), individuals with a common mental disorder (OR = 2.47, 95% CI = 1.37–4.43), individuals without a common mental disorder (OR = 3.99, 95% CI = 2.47–6.43), and individuals with neither a common mental disorder nor BPD (OR = 3.20, 95% CI = 1.71–5.98). Conclusion: Psychotic experiences are associated with high odds of suicidal behaviour in individuals with and without psychopathology. This relationship is not explained by clinical or subclinical BPD.
KW - borderline personality disorder
KW - psychosis
KW - suicide
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U2 - 10.1111/acps.12693
DO - 10.1111/acps.12693
M3 - Article
C2 - 28185269
AN - SCOPUS:85012025869
SN - 0001-690X
VL - 135
SP - 212
EP - 218
JO - Acta Psychiatrica Scandinavica
JF - Acta Psychiatrica Scandinavica
IS - 3
ER -