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Borderline personality disorder, drug use disorder, and worsening depression or substance abuse are significant predictors of suicide attempts in people with Axis I and II disorders

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Q What are the diagnostic predictors of suicide attempts in people with Axis I and Axis II disorders?


Embedded Image  Design:

Prospective longitudinal study.

Embedded Image  Follow up period:

Two years. Participants interviewed at 6 months, 1 year, and 2 years.

Embedded Image  Setting:

Clinics in Providence, New York, Boston, and New Haven, USA; time frame not stated.

Embedded Image  People:

668 people (aged 18–45 years) with a diagnosed personality disorder (Diagnostic Interview for DSM-IV Personality Disorders), or major depressive disorder (Structured Clinical Interview for DSM-IV Axis I Disorders-patient version). Included personality disorders were: schizotypal, borderline, avoidant, and obsessive-compulsive. Exclusions: acute substance intoxication or withdrawal; active psychosis; IQ of 85 or less; cognitive impairment; or history of schizophrenia, schizophreniform, or schizoaffective disorders.

Embedded Image  Risk factors:

The semi-structured Longitudinal Interval Follow-Up Evaluation (LIFE) interview system was used to assess …

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