Borderline Personality Traits Do Not Moderate the Relationship Between Depression, Beliefs, and Suicidal Thoughts and Behaviors

REFERENCES

• Al-Dajani, N., Uliaszek, A. A., & Hamdullahpur, K. (2019). It’s the thought that counts: Belief in suicide as an escape moderates the relationship between emotion dysregulation and suicidal ideation cross-sectionally and longitudinally. Borderline Personality Disorder and Emotion Dysregulation, 6(1), 16. https://doi.org/10.1186/s40479-019-0112-5
   PubMed Web of Science ®Google Scholar
• American Psychiatric Association. (2001). Practice guideline for the treatment of patients with borderline personality disorder. American Psychiatric Pub.
   Google Scholar
• Balzen, K. M., Goette, W. F., Sachs, R., Krantz, S. M., Heerschap, J., Kennard, B. D., Emslie, G. J., & Stewart, S. M. (2022). Borderline personality features influence treatment response to suicide prevention. Journal of Affective Disorders, 311, 515–522. https://doi.org/10.1016/j.jad.2022.05.083
   PubMed Web of Science ®Google Scholar
• Berk, M. S., Jeglic, E., Brown, G. K., Henriques, G. R., & Beck, A. T. (2007). Characteristics of recent suicide attempters with and without borderline personality disorder. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 11(1), 91–104. https://doi.org/10.1080/13811110600992951
   PubMedGoogle Scholar
• Bhar, S. S., Brown, G. K., & Beck, A. T. (2008). Dysfunctional beliefs and psychopathology in borderline personality disorder. Journal of Personality Disorders, 22(2), 165–177. https://doi.org/10.1521/pedi.2008.22.2.165
   PubMed Web of Science ®Google Scholar
• Britton, P. C., Conner, K. R., Chapman, B. P., & Maisto, S. A. (2020). Motivational interviewing to address suicidal ideation: A randomized controlled trial in veterans. Suicide & Life-Threatening Behavior, 50(1), 233–248. https://doi.org/10.1111/sltb.12581
   PubMed Web of Science ®Google Scholar
• Brown, G. K., Currier, G. W., Jager-Hyman, S., & Stanley, B. (2015). Detection and classification of suicidal behavior and nonsuicidal self-injury behavior in emergency departments. The Journal of Clinical Psychiatry, 76(10), 1397–1403. https://doi.org/10.4088/JCP.14m09015
   PubMed Web of Science ®Google Scholar
• Bryan, C. J., Kanzler, K. E., Grieser, E., Martinez, A., Allison, S., & McGeary, D. (2016). A shortened version of the suicide cognitions scale for identifying chronic pain patients at risk for suicide. Pain Practice: The Official Journal of World Institute of Pain, 17(3), 371–381. https://doi.org/10.1111/papr.12464
   PubMed Web of Science ®Google Scholar
• Bryan, C. J., & Rudd, M. D. (2006). Advances in the assessment of suicide risk. Journal of Clinical Psychology, 62(2), 185–200. https://doi.org/10.1002/jclp.20222
   PubMed Web of Science ®Google Scholar
• Bryan, C. J., Rudd, M. D., Wertenberger, E., Etienne, N., Ray-Sannerud, B. N., Morrow, C. E., Peterson, A. L., & Young-McCaughon, S. (2014). Improving the detection and prediction of suicidal behavior among military personnel by measuring suicidal beliefs: An evaluation of the suicide cognitions scale. Journal of Affective Disorders, 159, 15–22. https://doi.org/10.1016/j.jad.2014.02.021
   PubMed Web of Science ®Google Scholar
• Carpenter, R. W., & Trull, T. J. (2012). Components of emotion dysregulation in borderline personality disorder: A review. Current Psychiatry Reports, 15(1), 335. https://doi.org/10.1007/s11920-012-0335-2
   Web of Science ®Google Scholar
• Chesin, M. S., Jeglic, E. L., & Stanley, B. (2010). Pathways to high-lethality suicide attempts in individuals with borderline personality disorder. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 14(4), 342–362. https://doi.org/10.1080/13811118.2010.524054
   PubMed Web of Science ®Google Scholar
• Chung, D. T., Ryan, C. J., Hadzi-Pavlovic, D., Singh, S. P., Stanton, C., & Large, M. M. (2017). Suicide rates after discharge from psychiatric facilities: A systematic review and meta-analysis. JAMA Psychiatry, 74(7), 694–702. https://doi.org/10.1001/jamapsychiatry.2017.1044
   PubMed Web of Science ®Google Scholar
• Coppersmith, D. D., Millgram, Y., Kleiman, E. M., Fortgang, R. G., Millner, A. J., Frumkin, M. R., Bentley, K. H., & Nock, M. K. (2023). Suicidal thinking as affect regulation. Journal of Psychopathology and Clinical Science, 132(4), 385–395. https://doi.org/10.1037/abn0000828
   PubMedGoogle Scholar
• DeCou, C. R., Comtois, K. A., & Landes, S. J. (2019). Dialectical behavior therapy is effective for the treatment of suicidal behavior: A meta-analysis. Behavior Therapy, 50(1), 60–72. https://doi.org/10.1016/j.beth.2018.03.009
   PubMed Web of Science ®Google Scholar
• Diefenbach, G. J., Rudd, M. D., Merling, L. F., Davies, C., Katz, B. W., & Tolin, D. F. (2021). Brief cognitive-behavioral therapy for suicidal inpatients. Cognitive and Behavioral Practice, 28(2), 224–240. https://doi.org/10.1016/j.cbpra.2020.09.010
   Web of Science ®Google Scholar
• Dombrovski, A. Y., Hallquist, M. N., Kaurin, A., & Wright, A. G. C. (2022). Momentary interpersonal processes of suicidal surges in borderline personality disorder. Psychological Medicine, 52(13), 2702–2712. https://doi.org/10.1017/S0033291720004791
   PubMed Web of Science ®Google Scholar
• Ellis, T. E., Rufino, K. A., & Allen, J. G. (2017). A controlled comparison trial of the Collaborative Assessment and Management of Suicidality (CAMS) in an inpatient setting: Outcomes at discharge and six-month follow-up. Psychiatry Research, 249, 252–260. https://doi.org/10.1016/j.psychres.2017.01.032
   PubMed Web of Science ®Google Scholar
• Fitzmaurice, G., Frankenburg, F. R., Reich, D. B., Silverman, M. H., Wedig, M. M., & Zanarini, M. C. (2012). Predictors of suicide attempts in patients with borderline personality disorder over 16 years of prospective follow-up. Psychological Medicine, 42(11), 2395–2404. https://doi.org/10.1017/S0033291712000517
   PubMed Web of Science ®Google Scholar
• Ghahramanlou-Holloway, M., Lee-Tauler, S. Y., LaCroix, J. M., Kauten, R., Perera, K., Chen, R., Weaver, J., & Soumoff, A. (2018). Dysfunctional personality disorder beliefs and lifetime suicide attempts among psychiatrically hospitalized military personnel. Comprehensive Psychiatry, 82, 108–114. https://doi.org/10.1016/j.comppsych.2018.01.010
   PubMed Web of Science ®Google Scholar
• Goodman, M., Tomas, I. A., Temes, C. M., Fitzmaurice, G. M., Aguirre, B. A., & Zanarini, M. C. (2017). Suicide attempts and self‐injurious behaviours in adolescent and adult patients with borderline personality disorder. Personality and Mental Health, 11(3), 157–163. https://doi.org/10.1002/pmh.1375
   PubMed Web of Science ®Google Scholar
• Gratz, K. L., Kiel, E. J., Mann, A. J. D., & Tull, M. T. (2022). The prospective relation between borderline personality disorder symptoms and suicide risk: The mediating roles of emotion regulation difficulties and perceived burdensomeness. Journal of Affective Disorders, 313, 186–195. https://doi.org/10.1016/j.jad.2022.06.066
   PubMed Web of Science ®Google Scholar
• Gwaltney, C., Mundt, J. C., Greist, J. H., Paty, J., & Tiplady, B. (2017). Interactive voice response and text-based self-report versions of the electronic Columbia-Suicide Severity Rating Scale are equivalent. Innovations in Clinical Neuroscience, 14(3–4), 17–23.
   PubMedGoogle Scholar
• Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381. https://doi.org/10.1016/j.jbi.2008.08.010
   PubMed Web of Science ®Google Scholar
• Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.
   Google Scholar
• Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. The British Journal of Clinical Psychology, 44(Pt 2), 227–239. https://doi.org/10.1348/014466505X29657
   PubMed Web of Science ®Google Scholar
• Joiner, T. E. (2005). Why people die by suicide. Harvard University Press.
   Google Scholar
• LaCroix, J. M., Perera, K. U., Neely, L. L., Grammer, G., Weaver, J., & Ghahramanlou-Holloway, M. (2018). Pilot trial of post-admission cognitive therapy: Inpatient program for suicide prevention. Psychological Services, 15(3), 279–288. https://doi.org/10.1037/ser0000224
   PubMed Web of Science ®Google Scholar
• Liao, H., Li, Y., & Brooks, G. P. (2017). Outlier impact and accommodation on power. Journal of Modern Applied Statistical Methods, 16(1), 261–278. https://doi.org/10.22237/jmasm/1493597640
   Google Scholar
• Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet , 364(9432), 453–461. https://doi.org/10.1016/S0140-6736(04)16770-6
   PubMed Web of Science ®Google Scholar
• Linehan, M. M. (2015). DBT^® skills training manual., 2nd ed. Guilford Press.
   Google Scholar
• Links, P. S., Eynan, R., Heisel, M. J., Barr, A., Korzekwa, M., McMain, S., & Ball, J. S. (2007). Affective instability and suicidal ideation and behavior in patients with borderline personality disorder. Journal of Personality Disorders, 21(1), 72–86. https://doi.org/10.1521/pedi.2007.21.1.72
   PubMed Web of Science ®Google Scholar
• Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-u
   PubMed Web of Science ®Google Scholar
• McGirr, A., Paris, J., Fau- Lesage, A., Lesage, A., Fau- Renaud, J., Renaud, J., Fau- Turecki, G., & Turecki, G. (2007). Risk factors for suicide completion in borderline personality disorder: A case-control study of cluster B comorbidity and impulsive aggression. The Journal of Clinical Psychiatry, 68(5), 721–729. https://doi.org/10.4088/jcp.v68n0509
   PubMed Web of Science ®Google Scholar
• Mou, D., Kleiman, E. M., Fedor, S., Beck, S., Huffman, J. C., & Nock, M. K. (2018). Negative affect is more strongly associated with suicidal thinking among suicidal patients with borderline personality disorder than those without. Journal of Psychiatric Research, 104, 198–201. https://doi.org/10.1016/j.jpsychires.2018.08.006
   PubMed Web of Science ®Google Scholar
• Olfson, M., Wall, M., Wang, S., Crystal, S., Liu, S.-M., Gerhard, T., & Blanco, C. (2016). Short-term suicide risk after psychiatric hospital discharge. JAMA Psychiatry, 73(11), 1119–1126. https://doi.org/10.1001/jamapsychiatry.2016.2035
   PubMed Web of Science ®Google Scholar
• Paris, J., & Zweig-Frank, H. (2001). A 27-year follow-up of patients with borderline personality disorder. Comprehensive Psychiatry, 42(6), 482–487. https://doi.org/10.1053/comp.2001.26271
   PubMed Web of Science ®Google Scholar
• Pompili, M., Innamorati, M., Raja, M., Falcone, I., Ducci, G., Angeletti, G., Lester, D., Girardi, P., Tatarelli, R., & De Pisa, E. (2008). Suicide risk in depression and bipolar disorder: Do impulsiveness-aggressiveness and pharmacotherapy predict suicidal intent? Neuropsychiatric Disease and Treatment, 4(1), 247–255. https://doi.org/10.2147/ndt.s2192
   PubMedGoogle Scholar
• Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., & Mann, J. J. (2011). The Columbia–suicide severity rating scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. The American Journal of Psychiatry, 168(12), 1266–1277. https://doi.org/10.1176/appi.ajp.2011.10111704
   PubMed Web of Science ®Google Scholar
• Reutfors, J., Andersson, T. M.-L., Tanskanen, A., DiBernardo, A., Li, G., Brandt, L., & Brenner, P. (2021). Risk factors for suicide and suicide attempts among patients with treatment-resistant depression: Nested case-control study. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 25(3), 424–438. https://doi.org/10.1080/13811118.2019.1691692
   PubMed Web of Science ®Google Scholar
• Reynolds, W. M. (1991). Psychometric characteristics of the adult suicidal ideation questionnaire in college students. Journal of Personality Assessment, 56(2), 289–307. https://doi.org/10.1207/s15327752jpa5602_9
   PubMed Web of Science ®Google Scholar
• Rizk, M. M., Choo, T.-H., Galfalvy, H., Biggs, E., Brodsky, B. S., Oquendo, M. A., Mann, J. J., & Stanley, B. (2019). Variability in suicidal ideation is associated with affective instability in suicide attempters with borderline personality disorder. Psychiatry, 82(2), 173–178. https://doi.org/10.1080/00332747.2019.1600219
   PubMed Web of Science ®Google Scholar
• Rogers, M. L., & Joiner, T. E. (2016). Borderline personality disorder diagnostic criteria as risk factors for suicidal behavior through the lens of the interpersonal theory of suicide. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 20(4), 591–604. https://doi.org/10.1080/13811118.2016.1158681
   PubMed Web of Science ®Google Scholar
• Rudd, M. D. (2006). Fluid vulnerability theory: A cognitive approach to understanding the process of acute and chronic suicide risk. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 355–368). American Psychological Association. https://doi.org/10.1037/11377-016
   Google Scholar
• Rudd, M. D., & Bryan, C. J. (2021). The brief suicide cognitions scale: Development and clinical application. Frontiers in Psychiatry, 12, 737393. https://doi.org/10.3389/fpsyt.2021.737393
   PubMed Web of Science ®Google Scholar
• Rudd, M. D., Bryan, C. J., Wertenberger, E. G., Peterson, A. L., Young-McCaughan, S., Mintz, J., Williams, S. R., Arne, K. A., Breitbach, J., Delano, K., Wilkinson, E., & Bruce, T. O. (2015). Brief cognitive-behavioral therapy effects on posttreatment suicide attempts in a military sample: Results of a randomized clinical trial with 2-year follow-up. The American Journal of Psychiatry, 172(5), 441–449. https://doi.org/10.1176/appi.ajp.2014.14070843
   PubMed Web of Science ®Google Scholar
• Ryberg, W., Diep, L. M., Landrø, N. I., & Fosse, R. (2020). Effects of the collaborative assessment and management of suicidality (CAMS) model: A secondary analysis of moderation and influencing factors. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 24(4), 589–608. https://doi.org/10.1080/13811118.2019.1650143
   PubMed Web of Science ®Google Scholar
• Soloff, P. H., & Chiappetta, L. (2019). 10-year outcome of suicidal behavior in borderline personality disorder. Journal of Personality Disorders, 33(1), 82–100. https://doi.org/10.1521/pedi_2018_32_332
   PubMed Web of Science ®Google Scholar
• Soloff, P. H., Lynch, K. G., Kelly, T. M., Malone, K. M., & Mann, J. J. (2000). Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: A comparative study. The American Journal of Psychiatry, 157(4), 601–608. https://doi.org/10.1521/pedi_2018_32_332
   PubMed Web of Science ®Google Scholar
• Suominen, K. H., Isometsä, E. T., Henriksson, M. M., Ostamo, A. I., & Lönnqvist, J. K. (2000). Suicide attempts and personality disorder. Acta Psychiatrica Scandinavica, 102(2), 118–125. https://doi.org/10.1034/j.1600-0447.2000.102002118.x
   PubMed Web of Science ®Google Scholar
• Tolin, D. F., Gilliam, C., Wootton, B. M., Bowe, W., Bragdon, L. B., Davis, E., Hannan, S. E., Steinman, S. A., Worden, B., & Hallion, L. S. (2018). Psychometric properties of a structured diagnostic interview for DSM-5 anxiety, mood, and obsessive-compulsive and related disorders. Assessment, 25(1), 3–13. https://doi.org/10.1177/1073191116638410
   PubMed Web of Science ®Google Scholar
• Tomko, R., Trull, T. J., Wood, P. K., & Sher, K. J. (2014). Characteristics of borderline personality disorder in a community sample: Comorbidity, treatment utilization, and general functioning. Journal of Personality Disorders, 28(5), 734–750. https://doi.org/10.1521/pedi_2012_26_093
   PubMed Web of Science ®Google Scholar
• Turner, B. J., Jin, H. M., Anestis, M. D., Dixon-Gordon, K. L., & Gratz, K. L. (2018). Personality pathology and intentional self-harm: Cross-cutting insights from categorical and dimensional models. Current Opinion in Psychology, 21, 55–59. https://doi.org/10.1016/j.copsyc.2017.09.009
   PubMed Web of Science ®Google Scholar
• Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697
   PubMed Web of Science ®Google Scholar
• Wolf, J., Reinhard, M. A., Goerigk, S., Barton, B. B., Burkhardt, G., Tang, J., Eder, J., Amann, B. L., Bertsch, K., Jobst, A., Musil, R., & Padberg, F. (2023). Suicidal behaviors and adverse childhood experiences: A cross-diagnostic study in persistent depressive disorder and borderline personality disorder. Psychiatry Research, 330, 115562. https://doi.org/10.1016/j.psychres.2023.115562
   PubMed Web of Science ®Google Scholar
• Yen, S., Peters, J. R., Nishar, S., Grilo, C. M., Sanislow, C. A., Shea, M. T., Zanarini, M. C., McGlashan, T. H., Morey, L. C., & Skodol, A. E. (2021). Association of borderline personality disorder criteria with suicide attempts: Findings from the collaborative longitudinal study of personality disorders over 10 years of follow-up. JAMA Psychiatry, 78(2), 187–194. https://doi.org/10.1001/jamapsychiatry.2020.3598
   PubMed Web of Science ®Google Scholar
• Yen, S., Shea, M. T., Sanislow, C. A., Grilo, C. M., Skodol, A. E., Gunderson, J. G., McGlashan, T. H., Zanarini, M. C., & Morey, L. C. (2004). Borderline personality disorder criteria associated with prospectively observed suicidal behavior. The American Journal of Psychiatry, 161(7), 1296–1298. https://doi.org/10.1176/appi.ajp.161.7.1296
   PubMed Web of Science ®Google Scholar
• Zanarini, M. C., Vujanovic, A. A., Parachini, E. A., Boulanger, J. L., Frankenburg, F. R., & Hennen, J. (2003). A screening measure for BPD: The McLean screening instrument for borderline personality disorder (MSI-BPD). Journal of Personality Disorders, 17(6), 568–573. https://doi.org/10.1521/pedi.17.6.568.25355
   PubMed Web of Science ®Google Scholar
• Zeifman, R. J., Boritz, T., Barnhart, R., Labrish, C., & McMain, S. F. (2020). The independent roles of mindfulness and distress tolerance in treatment outcomes in dialectical behavior therapy skills training. Personality Disorders, 11(3), 181–190. https://doi.org/10.1037/per0000368
   PubMedGoogle Scholar