Nonsuicidal Self-Injury Disorder, Borderline Personality Disorder, and Lifetime History of Suicide Attempts among Male and Female Veterans with Mental Health Disorders,Journal of Affective Disorders

当前位置： X-MOL 学术 › J. Affect. Disord. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Nonsuicidal Self-Injury Disorder, Borderline Personality Disorder, and Lifetime History of Suicide Attempts among Male and Female Veterans with Mental Health Disorders
Journal of Affective Disorders ( IF 4.9 ) Pub Date : 2021-03-15 , DOI: 10.1016/j.jad.2021.03.033
Katherine C Cunningham ₁ , Frances M Aunon ₂ , Tapan A Patel ₂ , Adam J Mann ₃ , Bryann B DeBeer ₄ , Eric C Meyer ₅ , Sandra B Morissette ₆ , Paul J Silvia ₇ , Kim L Gratz ₈ , Patrick S Calhoun ₉ , Jean C Beckham ₁₀ , Nathan A Kimbrel ₉

Affiliation

Salem Veterans Affairs Medical Center, Salem, VA, USA.
Durham Veterans Affairs Health Care System, Durham, NC, USA.
Durham Veterans Affairs Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
VA Rocky Mountain Mental Illness, Research, Education, and Clinical Center, Aurora, CO; Department of Physical Medicine and Rehabilitation, Anschutz Medical Campus, University of Colorado.
Department of Rehabilitation Science and Technology, University of Pittsburgh.
VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System, Waco, TX, USA; Department of Psychology, The University of Texas at San Antonio, San Antonio, TX, USA.
Department of Psychology, University of North Carolina at Greensboro, NC, USA.
Department of Psychology, University of Toledo, Toledo, OH, USA.
Durham Veterans Affairs Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA; VA Health Services Research and Development Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, NC, USA.
Durham Veterans Affairs Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA.

Background

Expanding on research that has identified nonsuicidal self-injury (NSSI) as a strong predictor of suicide risk, the present study examined NSSI disorder (NSSID) and borderline personality disorder (BPD) as unique contributors to lifetime suicide attempts. To our knowledge, the present study represents the first exploration of these associations among veterans.

Methods

Participants included 124 male (74%) and female (26%) veterans diagnosed with at least one mental health disorder. Posttraumatic stress disorder (93%) and major depression (86%) were the most common mental health diagnoses. Large proportions of the sample met criteria for NSSID (48%) and BPD (40%). Suicide attempts were reported by 28% of the sample. Chi-square tests determined the bivariate associations among NSSID, BPD, history of suicide attempts, and other variables. Significant diagnostic (i.e., MDD, BPD, and NSSID) and demographic (i.e., age) characteristics were included as covariates in a logistic regression model examining the associations of BPD and NSSID with suicide attempts.

Results

BPD, Χ²=11.1, p<0.001, and NSSID, Χ²=13.9, p<0.001, were uniquely associated with suicide attempts. When all significant predictors were included in the final model, only NSSID emerged as a significant contributor to suicide attempts, OR = 4.9, p < 0.001.

Limitations

Causality cannot be determined from cross-sectional analyses.

Conclusion

These findings highlight NSSID as a powerful and unique correlate of suicide attempts among veterans, beyond the associations of established diagnostic risk factors. Improving our understanding of the relationship between NSSID and suicide risk has the potential to inform suicide prevention efforts and improve clinical outcomes among veterans.

中文翻译：

患有精神健康障碍的男性和女性退伍军人的非自杀性自伤障碍、边缘性人格障碍和自杀未遂史

背景

扩展已将非自杀性自伤 (NSSI) 确定为自杀风险的强预测因子的研究，本研究将 NSSI 障碍 (NSSID) 和边缘型人格障碍 (BPD) 视为终生自杀企图的独特贡献者。据我们所知，本研究代表了退伍军人之间这些关联的首次探索。

方法

参与者包括 124 名男性 (74%) 和女性 (26%) 的退伍军人，他们被诊断出患有至少一种精神疾病。创伤后应激障碍 (93%) 和重度抑郁症 (86%) 是最常见的心理健康诊断。大部分样本符合 NSSID (48%) 和 BPD (40%) 的标准。28% 的样本报告了自杀企图。卡方检验确定了 NSSID、BPD、自杀未遂史和其他变量之间的双变量关联。重要的诊断（即 MDD、BPD 和 NSSID）和人口统计学（即年龄）特征作为协变量包含在逻辑回归模型中，该模型检查 BPD 和 NSSID 与自杀未遂之间的关联。