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Int J Adolesc Med Health. 2016 Jul 21;30(2). pii: /j/ijamh.2018.30.issue-2/ijamh-2016-0036/ijamh-2016-0036.xml. doi: 10.1515/ijamh-2016-0036.

A retrospective chart review: adolescents with borderline personality disorder, borderline personality traits, and controls.

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Department of Psychology, Queen's University, 99 University Ave Unit 2, Kingston K7L 3N6, Ontario, Canada.
Queen's University, Kingston, Ontario, Canada.
University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
Department of Psychology, Queen's University, Kingston, Ontario, Canada.


With an estimated lifetime prevalence as high as 5.9% in the general population, borderline personality disorder (BPD) is a psychiatric disorder characterized by marked impulsivity as well as difficulties in interpersonal relationships, self-image, and affects. 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 facilities. 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 disorder. 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 the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) 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.


borderline personality disorder (BPD); borderline traits; chart review; emotional dysregulation


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