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Psychotic experiences and suicide attempt risk in common mental disorders and borderline personality disorder
Author(s) -
Kelleher I.,
Ramsay H.,
DeVylder J.
Publication year - 2017
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/acps.12693
Subject(s) - borderline personality disorder , psychiatry , psychopathology , psychology , personality disorders , clinical psychology , schizophrenia (object oriented programming) , prevalence of mental disorders , comorbidity , odds ratio , subclinical infection , mental health , medicine , personality , social psychology
Objective Recent research has demonstrated a strong relationship between psychotic experiences and suicidal behaviour. No research to date, however, has investigated the role of borderline personality disorder ( BPD ) in this relationship, despite the fact that BPD is highly comorbid with common mental disorders and is associated with both recurrent suicidal behaviour and psychotic experiences. This paper examined the relationship between psychotic experiences and suicide attempts, including interrelationships with BPD and common mental disorders. Method We used the 2007 Adult Psychiatric Morbidity Study, a stratified, multistage probability sample of households in England, which recruited a nationally representative sample aged 16 years and older. Participants were assessed for common mental disorders, BPD (clinical and subclinical), suicidal behaviour, and psychotic experiences. Results Approximately 4% of the total sample ( n = 323) reported psychotic experiences. Psychotic experiences were associated with increased odds of suicide attempts in individuals with BPD ( OR = 2.23, 95% CI = 1.03–4.85), individuals with a common mental disorder ( OR = 2.47, 95% CI = 1.37–4.43), individuals without a common mental disorder ( OR = 3.99, 95% CI = 2.47–6.43), and individuals with neither a common mental disorder nor BPD ( OR = 3.20, 95% CI = 1.71–5.98). Conclusion Psychotic experiences are associated with high odds of suicidal behaviour in individuals with and without psychopathology. This relationship is not explained by clinical or subclinical BPD .