Suicide Risk in Personality Disorders: A Systematic Review.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2023-09-01 Epub Date: 2023-08-29 DOI:10.1007/s11920-023-01440-w

Heather McClelland, Seonaid Cleare, Rory C O'Connor

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Abstract

Purpose of review: This systematic review aimed to distil recent literature investigating psychosocial factors which may account for the association between personality disorder (PD) and suicide attempt or suicide death.

Recent findings: Suicide risk is particularly elevated in people with PD compared to those with no, or many other, mental health diagnoses. Despite this, suicide prevention strategies for PD populations have not progressed markedly in recent years. It is critical, therefore, to identify additional factors associated with suicide in PD populations. Of the 34 studies included in this review, most identified a relationship between personality disorder and suicide attempt and/or death. Historical interpersonal factors (e.g., childhood trauma), drug and alcohol use, and ideation-to-enaction factors were commonly associated with suicide-related outcomes. Interventions that provide interpersonal support may reduce suicide attempts. Limitations of the review include the heterogeneity of studies and small sample sizes.

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人格障碍的自杀风险：一项系统综述。

综述目的：本系统综述旨在提炼最新的文献，研究可能导致人格障碍（PD）与自杀未遂或自杀死亡之间联系的心理社会因素。最近的发现：与没有或许多其他心理健康诊断的人相比，帕金森病患者的自杀风险尤其高。尽管如此，近年来针对帕金森病患者的自杀预防策略并没有取得显著进展。因此，确定PD人群中与自杀相关的其他因素至关重要。在这篇综述中包括的34项研究中，大多数都确定了人格障碍与自杀未遂和/或死亡之间的关系。历史人际因素（如儿童创伤）、药物和酒精使用以及对行为的意念因素通常与自杀相关结果相关。提供人际支持的干预措施可以减少自杀企图。审查的局限性包括研究的异质性和小样本量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.

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