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With an estimated lifetime prevalence as high as 5.9% in the general population, Borderline Personality Disorder (BPD) is a psychiatric disorder characterized by difficulties in interpersonal relationships, self-image, and affects, as well as marked impulsivity”1,2. The burden on the health care system is immense, with BPD patients accounting for 10-20% of the patients in mental health outpatient facilities and 15-40% in mental health inpatient facilities3. Further, while 75-80% of BPD patients attempt to commit suicide, 10% succeed; this mortality rate exceeds even that of anorexia nervosa which, with a weighted mortality rate of 5.1%, has often been considered to have the highest mortality rate of any mental disorder4,5,6. In order to provide treatment and to implement preventative measures, a risk profile as well as clinical features must be identified within the adolescent population. This is presently crucial, as the current criteria for BPD are not developmentally-focused, and as a result, criteria initially developed for the adult population are being applied in diagnoses of adolescents. A population of adolescents (N=80) between 16 and 19 years of age meeting DSM-5 criteria either for BPD traits (N=46) or for BPD (N=36) were included in a retrospective chart review; a control group consisting of N=30 mood and anxiety control subjects were included to allow for further comparisons. Complex significant differences were discovered between the three groups in the following areas: history of sexual abuse, suicidal ideation, internalizing/externalizing symptoms, interpersonal difficulties, impulsivity, pre-perinatal stress, bullying, substance abuse, anxiety disorders, disruptive disorders, and finally, learning disorders. |
