Borderline symptoms and suicidality/self-injury in late adolescence: Prospectively observed relationship correlates in infancy and childhood
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https://doi.org/10.1016/j.psychres.2012.09.030Metadata
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Lyons-Ruth, Karlen, Jean-Francois Bureau, Bjarne Holmes, Ann Easterbrooks, and Nancy Hall Brooks. 2013. “Borderline Symptoms and Suicidality/self-Injury in Late Adolescence: Prospectively Observed Relationship Correlates in Infancy and Childhood.” Psychiatry Research 206 (2-3) (April): 273–281. doi:10.1016/j.psychres.2012.09.030.Abstract
The primary objective was to assess whether prospectively observed quality of parent–child interaction in infancy and middle childhood contributed to the prediction of borderline symptoms and recurrent suicidality/self-injury in late adolescence. Adolescents (mean 19.9 years) from 56 families participating in a longitudinal study since infancy (retention rate 74%) were assessed on the SCID-II for symptoms of borderline personality disorder (BPD), including suicidality/self-injury. Early clinical risk was indexed by clinical referral to parent–infant services. Attachment security and parent–child interaction were assessed from videotape at 18 months and 8 years. Severity of childhood abuse was rated from interview and self-report measures. Maternal withdrawal in infancy was a significant predictor of both borderline symptoms and suicidality/self-injury in late adolescence. Disorganized controlling child behavior at age 8 contributed independently to the prediction of borderline symptoms. The effect of maternal withdrawal was independent of, and additive to, variability explained by severity of childhood abuse. Borderline symptoms and suicidality/self-injury may be preceded developmentally by disturbed interactions as early as 18 months of age. A parent–child transactional model is proposed to account for the findings.Other Sources
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