Personality disorder and future-directed thinking in parasuicide

J Pers Disord. 2004 Oct;18(5):459-66. doi: 10.1521/pedi.18.5.459.51329.

Abstract

Parasuicide patients have been found to lack positive expectations for the future. The aim of the present study was to look at variations in this lack of positive future-thinking as a function of personality status. A sample (N = 442) of repeat parasuicide patients was assessed on positive and negative future-thinking and the presence of personality disorder or personality difficulty. Those with a Cluster B personality disorder (borderline or dissocial) were significantly lower in positive future-thinking than those with no Cluster B symptoms or those with Cluster B personality difficulty. Neither Cluster A nor Cluster C symptomatology was related to positive future-thinking. Negative future-thinking was not significantly related to any type of personality disorder or difficulty. The results are interpreted as evidence of the importance of personality status in influencing positive future-thinking and gives some indications of why those with Cluster B personality disorder have such high rates of recurrent self-harm.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Forecasting
  • Humans
  • Male
  • Personality Disorders / diagnosis
  • Personality Disorders / epidemiology*
  • Severity of Illness Index
  • Suicide, Attempted / statistics & numerical data*
  • Thinking*