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Clinically useful screen for borderline personality disorder in psychiatric out-patients

  • Mark Zimmerman (a1), Matthew D. Multach (a1), Kristy Dalrymple (a1) and Iwona Chelminski (a1)
Summary

A total of 3674 psychiatric out-patients were evaluated with a semi-structured diagnostic interview for DSM-IV borderline personality disorder (BPD). The affective instability criterion had a sensitivity of 92.8%, higher than the sensitivities of the other eight BPD criteria. The negative predictive value of the affective instability criterion was 99%. We recommend that clinicians screen for BPD in the same way that they screen for other psychiatric disorders: by enquiring about a single feature of the disorder (i.e. affective instability), the presence of which identifies most patients with the disorder and the absence of which rules out the disorder.

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Copyright
Corresponding author
Mark Zimmerman, MD, 146 West River Street, Providence, RI 02904, USA. Email: mzimmerman@lifespan.org
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Declaration of interest

None.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Clinically useful screen for borderline personality disorder in psychiatric out-patients

  • Mark Zimmerman (a1), Matthew D. Multach (a1), Kristy Dalrymple (a1) and Iwona Chelminski (a1)
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