Personality Disorder Symptoms and Suicidality: Low Desire and High Plans for Suicide in Military Inpatients and Outpatients

This study characterizes the personality disorder (PD) symptoms of patients who endorse a perplexing combination of low desire and high plans for suicide. Five PD (antisocial, narcissistic, borderline, dependent, avoidant) symptoms were examined at the junction of two suicide risk factors: (a) suici...

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Bibliographic Details
Published in:Journal of personality disorders 2017-04, Vol.31 (2), p.145-155
Main Authors: Chu, Carol, Buchman-Schmitt, Jennifer M, Joiner, Thomas E, Rudd, M David
Format: Article
Language:English
Subjects:
Adult
Behavior Patterns
Departments
Factor Structure
Female
Health care delivery
Humans
Male
Mental health care
Middle Aged
Military personnel
Military Personnel - psychology
Outpatients - psychology
Patients
Personality
Personality disorders
Personality Disorders - complications
Personality Disorders - diagnosis
Personality Problems
Psychological Patterns
Psychopathology
Resistance (Psychology)
Risk Assessment
State Schools
State Universities
Suicide
Suicide - psychology
Suicides & suicide attempts
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Summary:This study characterizes the personality disorder (PD) symptoms of patients who endorse a perplexing combination of low desire and high plans for suicide. Five PD (antisocial, narcissistic, borderline, dependent, avoidant) symptoms were examined at the junction of two suicide risk factors: (a) suicidal desire/ideation and (b) resolved plans/preparations. Participants (N = 250) were recruited from U.S. Army Medical Center affiliated sites, including two outpatient clinics, an inpatient facility, and an emergency room. Self-report measures of PD and suicide symptoms were administered. The interaction of desire and plans was entered into multiple regression equations predicting PD symptoms. Patients endorsing low desire and high plans for suicide reported significantly more antisocial and narcissistic symptoms and fewer borderline, avoidant, and dependent PD symptoms. These findings support the existence of patients who endorse suicide plans in the absence of strong suicidal desire and suggest that they display antisocial and narcissistic personality characteristics. Future directions and clinical implications are discussed.
ISSN:0885-579X
1943-2763
DOI:10.1521/pedi_2016_30_241