Đặc điểm triệu chứng lâm sàng rối loạn nhân cách ranh giới ở người bệnh vị thành niên có hành vi tự gây thương tích không tự sát điều trị nội trú tại Viện Sức khỏe Tâm thần

Adolescence, a critical period of psychophysiological development, involves significant brain changes impacting emotional regulation and impulse control. Non-suicidal self-injury (NSSI) is notably prevalent during this stage, with a 43.9% prevalence reported among Vietnamese adolescents in 2021. NSSI is linked to adverse outcomes, particularly for those with co-occurring borderline personality disorder (BPD), a severe mental health condition characterized by emotional instability and impulsive behaviors. Understanding the intricate relationship between NSSI and BPD symptoms in this vulnerable population is crucial for effective intervention. This study aims to describe the clinical symptoms of borderline personality disorder among adolescent inpatients presenting with non-suicidal self-injury.

Clinical psychologists, psychiatrists, mental health professionals specializing in adolescent care, and researchers in psychopathology.

This study investigated the clinical profile of borderline personality disorder (BPD) symptoms in adolescent inpatients experiencing non-suicidal self-injury (NSSI) at the National Institute of Mental Health, Vietnam. Utilizing a cross-sectional design, data was collected from 52 adolescents admitted between July 2024 and February 2025. The research aimed to comprehensively describe the prevalence and characteristics of BPD symptoms within this specific cohort, particularly noting how different NSSI patterns correlate with symptom presentation. Key findings revealed that adolescent inpatients with non-suicidal self-injury frequently exhibit multiple borderline personality disorder symptoms, with a mean of 4.7 ± 2.1 symptoms. A significant proportion, 55.8%, met criteria for at least five BPD symptoms. The most prevalent symptoms observed were recurrent suicidal threats/self-harm behaviors (88.5%), affective instability (82.7%), chronic feelings of emptiness (63.5%), and paranoid ideation/dissociative symptoms (65.4%). Notably, patients engaging in repetitive and diverse forms of non-suicidal self-injury demonstrated a higher percentage of BPD symptoms, indicating a stronger association between the severity and complexity of NSSI and the manifestation of BPD. These results underscore the high comorbidity of BPD symptoms among adolescent inpatients with non-suicidal self-injury, highlighting critical areas such as emotional dysregulation and chronic emptiness. The detailed profiling of these symptoms offers valuable insights for identifying high-risk individuals and informs the development of targeted, early interventions. This understanding is vital for clinicians and mental health professionals to improve diagnostic accuracy and tailor treatment strategies for adolescents grappling with both NSSI and emergent borderline personality disorder traits.