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The primary objective of this study was to examine associations between dissociation (i.e., depersonalization and derealization) and suicidality (i.e., self\u2010harm and suicide attempts) among individuals with PTSD and BPD. We analyzed data from the 2012\u20132013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC\u2010III; <jats:italic>N<\/jats:italic> = 36,309). The Alcohol Use Disorder and Associated Disabilities Interview Schedule for <jats:italic>DSM\u20105<\/jats:italic> was used to assess lifetime PTSD and BPD. Estimated rates of self\u2010harm among individuals who endorsed dissociation were 15.5%\u201326.2% for those with PTSD and 13.7%\u201323.5% for those with BPD, and estimates of suicide attempts among individuals who endorsed dissociation were 34.5%\u201338.1% for those with PTSD and 28.3%\u201333.1% for those with BPD. Multiple logistic regressions were conducted to examine the associations between dissociation (derealization, depersonalization, and both) and both self\u2010harm and suicide attempts among respondents with PTSD and BPD. The results indicated that dissociation was associated with self\u2010harm and suicide attempts, especially among individuals with BPD, a<jats:italic>OR<\/jats:italic>s = 1.39\u20132.66; however, this association may be driven in part by a third variable, such as other symptoms of PTSD or BPD (e.g., mood disturbance, PTSD or BPD symptom severity). These results may inform risk assessments and targeted interventions for vulnerable individuals with PTSD, BPD, or both aimed at mitigating the risk of self\u2010harm and suicide.<\/jats:p>","DOI":"10.1002\/jts.22726","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T04:27:15Z","timestamp":1629779235000},"page":"1149-1158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Dissociation as a Transdiagnostic Indicator of Self\u2010Injurious Behavior and Suicide Attempts: A Focus on Posttraumatic Stress Disorder and Borderline Personality Disorder"],"prefix":"10.1002","volume":"34","author":[{"given":"Jordana L.","family":"Sommer","sequence":"first","affiliation":[{"name":"Department of Psychology University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Department of Anesthesiology, Perioperative, and Pain Medicine University of Manitoba  Winnipeg Manitoba 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