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

Br J Psychiatry. 2017 Feb;210(2):165-166. doi: 10.1192/bjp.bp.116.182121. Epub 2016 Dec 1.

Abstract

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.

MeSH terms

  • Adult
  • Borderline Personality Disorder / diagnosis*
  • Female
  • Humans
  • Male
  • Outpatients
  • Practice Guidelines as Topic / standards*
  • Predictive Value of Tests