Ina Bekkevold-Jernberg

• Bekkevold-Jernberg, Ina; Pedersen, Geir Arild Feigum; Kvarstein, Elfrida Hartveit & Mehlum, Lars (2021). Avoidant Personality Disorder and Deliberate Self-Harm. Vis sammendrag

  Objectives: Deliberate self-harm (DSH) is frequent among patients with Borderline personality disorder (BPD), whereas the prevalence of this behaviour and its associations with psychosocial distress and impairment among patients with other PDs is less known. The purpose of this study was to determine the prevalence of DSH among 959 outpatients with Avoidant PD (AvPD), and to examine the association between DSH and psychological distress, impairment in work and social functioning, and the number of fulfilled BPD-criteria within this group of patients. Methods: Data on all patients with AvPD (but no comorbid BPD) were retrieved from 20 outpatient treatment units on a specialist mental health service level within the Norwegian Network for Personality Disorders. Logistic Regression was used to explore associations between selected variables and last year history of DSH. Results: Almost 1 in 4 patients (24%) with AvPD had a last year history of DSH and DSH was strongly associated with high levels of psychosocial distress (OR 2.04; p=<.010), depression (OR 4.19; p=<.010), anxiety (OR 2.16; p=<.010), work impairment (OR 2.07; p=<.050) and number of fulfilled BPD criteria (OR 1.52; p=<.010). Conclusion: DSH is highly prevalent among clients with AvPD in outpatient treatment settings and strongly associated with depression and psychosocial and work impairment. DSH was also significantly linked to clinical features captured by diagnostic criteria for BPD. The latter may imply that treatment interventions originally developed for patients with BPD could also be an effective treatment for self-harming patients with AvPD.

• Bekkevold-Jernberg, Ina Marie; Pedersen, Geir Feigum & Mehlum, Lars (2018). Borderline Personality Disorder and Self-Harm Behaviours: Gender and Age Differences.
• Bekkevold-Jernberg, Ina Marie; Pedersen, Geir Feigum & Mehlum, Lars (2018). Age and Gender Differences in Self-Harm Behaviours Among Patients with Borderline Personality Disorder. Vis sammendrag

  Age and Gender Differences in Self-Harm Behaviours Among Patients with Borderline Personality Disorder Bekkevold-Jernberg I.1, Pedersen, Geir.2,3, Mehlum L. 1, 1National Centre for Suicide Research and Prevention, University of Oslo, Oslo, Norway; 2 Oslo University Hospital, Department of Personality Psychiatry, Division of Mental Health and Addiction, Oslo, Norway; 3 NORMENT, KG Jebsen Center for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Norway. Introduction and aim: Suicidal and non-suicidal self-harm (NSSI) are common behaviours in patients with borderline personality disorder (BPD) and represent important challenges to patient safety and treatment implementation. We used data collected from a large clinical cohort of adult patients with BPD treated at units in the Norwegian Network of Personality Focused Treatment Programmes (DN) to explore age and gender differences in past and current self-harming behaviours and associated symptoms. Methods: Interview and self-report data from DN was analysed, counting 603 patients diagnosed with BPD, wherein 79 men (13.1 %) and 524 women (86.9 %), from 16 outpatient units between 2009 and 2015. Conditional Logistic Regression was used to explore associations. Results: Opposite of what we expected, there was no significant gender difference related to NSSI (OR 1.21, p = .426). The differences related to age, however, were notable; the younger patients (<25 years) had a much higher prevalence of and association with NSSI than the older patients (>25 years): (71.4% vs 40.9% and OR 3.61, p < .001 vs OR 0.28, p <.001). Regardless of age, the associations were strong between NSSI and recent suicidal ideation (2.64, p <.001), and especially recent suicidal ideation with concrete plans (15.14, p <.001). Conclusion: These results imply that gender is not an important factor for NSSI among patients with BPD. Young adulthood is, however, a period of strongly increased risk of NSSI in patients with BPD which should be reflected in treatment programmes targeting patients with BPD. Finally, high levels of suicidal ideation with concrete plans have a strong association with recent NSSI in patients with BPD, a fact that needs to be taken into consideration when strategies to increase patient safety are implemented.

• Neupane, Sudan Prasad; Fjelli, Nora; Bekkevold-Jernberg, Ina; Larsen, Kim Sverre; Kruse, Anja Emilie & Bergman, Solveig [Vis alle 8 forfattere av denne artikkelen] (2022). Selvmordsproblematikk blant utsatte for og utøvere av vold og overgrep: En systematisk gjennomgang av oversiktsartikler. N/A.

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