engleski

Suicidality level correlated with borderline personality traits in patients with depressive disorder and schizophrenia

Objectives: The authors have researched correlation between primary illness (schizophrenia and depressive disorder - axis I) and underlying borderline personality traits (axis II) compared with expressed suicidality level in patients. Design and Methods: We have included 15 patients with schizophrenia and 19 patients with depressive disorder according to diagnostic criteria of International Classification of Diseases (ICD-10). The sample had been collected for 3 months during hospital treatment, when achieved stabilization phase of illness.The patients were treated with psychopharmacologic therapy indicated for specific disease: second generation antipsychotics for schizophrenia and selective serotonine reuptake inhibitors for depressive disorder. We have used several scales in order to conduct our research: "Hamilton Depression Scale" (depressive patients), "Positive and Negative Symptome Scale" (schizophrenic patients), "Suicidal Behaviour Questionnaire Revised" (for estimation of suicidality level) and "Borderline Symptom List - 23" (self- assesment scale for determination of borderline personality traits). Statistical analysis was conducted with Statistical Package for the Social Sciences (SPSS) programme. Results: Generaly, all patients with high suicidal risk have shown significantly higher "Borderline Symptome List 23" score (p=0, 007 ; Kruskal- Wallis test). Sample of patients with schizophrenia had significant positive correlation, using Pearson correlation coefficient, of "Suicidal Behaviour Questionnaire Revised" and "Borderline Symptome List 23"(p=0, 007 ; r=0, 662). Depressive patient sample had resulted in positive correlation of "Hamilton Depression Scale" score and "Suicidal Behaviour Questionnaire Revised" score. Conclusions: Interestingly, we have found strong link between borderline personality traits and suicidality level than with primary illness in patients with schizophrenia. However, the depressive patients have shown positive correlation of depressive symptomes and suicidality level but with not so strong correlation towards borderline personality traits. Also, due to relatively simple use of scales for suicidality and borderline personality traits we have implemeted them in our routine approach towards severe patients.

schizophrenia; depressive disorder; HAM-D; PANSS; suicidality; borderline traits

nije evidentirano