![]() One important factor associated with suicidality is borderline personality disorder (BPD), which usually become apparent during adolescence and young adulthood. In comparison, the lifetime prevalence of suicidal ideation in adults worldwide is 9%, and the prevalence of suicide attempts is 2.7%. In addition to depression, a US study found that 24% of the undergraduate sample had suicidal ideation and 9% had attempted suicide. ![]() Studies verify that university students have high levels of stress and a systematic review reported that the prevalence of depression among university students ranged from 10 to 85% (with a weighted mean prevalence of 30.6%). People during this period of life are more likely to face challenges such as emotional dysregulation, maladaptive behaviour, poor impulse control, drug or substance abuse, and even self-harm. ![]() However, a study in non-Thai and other population groups should be warranted.Īs a group, university students commonly experience stress and depression as they transition from adolescence to early adulthood, which often requires them to adapt to a new social role and identity, to maintain interpersonal relationships, to manage their own finances, and to strive for academic success. The SI-Bord demonstrated good reliability and validity for screening BPD in university students. The SI-Bord score was positively correlated to PHQ-9 and PSS-10 scores ( r = 0.67 and r = 0.69, p 9. Cronbach’s alpha for the SI-Bord was 0.76, indicating acceptable internal consistency. The SI-Bord had adequate discriminative power between cases and non-cases of BPD, with the area under the ROC curve being 0.83. It had a positive predictive value of 69.2% and negative predictive value of 87.3%. The cut-off score of the SI-Bord was > 9, as suggested by the Youden index, yielding a sensitivity of 56.3% and a specificity of 92.3%. Among the 68 participants selected for an online interview, 16 were diagnosed with BPD. The study included 342 students aged 18–25 years (the mean age was 20.25 ± 1.4 years), 80.4% of whom were female. The Receiver Operating Characteristics (ROC) was analyzed to evaluate its diagnostic accuracy. The diagnostic sensitivity and specificity of the SI-Bord, as compared to that of the SCID-II, were determined to indicate the cut-off score. An intraclass correlation coefficient (ICC) of 0.925 (95% CI, 0.805–0.979) ensured inter-rater reliability between the four psychiatrists. Participants whose SI-Bord scores were ≥ 1 were randomly selected to be interviewed and assessed for a BPD diagnosis by four psychiatrists using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) as a reference point. An online assessment gathered demographic data and results from the SI-Bord, the Perceived Stress Scale-10 (PSS-10) and the Patient Health Questionnaire-9 (PHQ-9). MethodsĪ cross-sectional study was conducted on a sample of university students in Thailand between November and December 2019. This study investigated its validity and reliability in screening for BPD in university students. The screening instrument for borderline personality disorder (SI-Bord) consists of a 5-item self-reported questionnaire on the key features of BPD from the DSM-5 using a 5-point Likert scale.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |