{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T22:06:39Z","timestamp":1777759599886,"version":"3.51.4"},"reference-count":54,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jad.2026.121811","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T08:50:07Z","timestamp":1776243007000},"page":"121811","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Personality dysfunction according to the DSM-5 Alternative Model of Personality Disorders (AMPD) predicts suicide attempts in clinical high-risk adolescents"],"prefix":"10.1016","volume":"407","author":[{"given":"Lea Kassandra","family":"Zippert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Hertel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvano","family":"Sele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinna","family":"Reichl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marialuisa","family":"Cavelti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Koenig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Kaess","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2026.121811_bb0005","series-title":"Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition)","author":"American Psychiatric Association","year":"2013"},{"issue":"2","key":"10.1016\/j.jad.2026.121811_bb0010","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1037\/per0000089","article-title":"Personality disorder risk factors for suicide attempts over 10 years of follow-up","volume":"6","author":"Ansell","year":"2015","journal-title":"Personal. Disord. Theory Res. Treat."},{"key":"10.1016\/j.jad.2026.121811_bb0015","series-title":"Bayesian Analysis of Latent Variable Models Using Mplus","author":"Asparouhov","year":"2021"},{"issue":"13","key":"10.1016\/j.jad.2026.121811_bb0020","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/j.jpsychires.2010.01.003","article-title":"A population-based longitudinal study of risk factors for suicide attempts in major depressive disorder","volume":"44","author":"Bolton","year":"2010","journal-title":"J. Psychiatr. Res."},{"issue":"11","key":"10.1016\/j.jad.2026.121811_bb0025","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1176\/appi.ajp.2016.15070854","article-title":"Suicide attempt as a risk factor for completed suicide: even more lethal than we knew","volume":"173","author":"Bostwick","year":"2016","journal-title":"Am. J. Psychiatry"},{"issue":"3","key":"10.1016\/j.jad.2026.121811_bb0030","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2022-058375","article-title":"Youth suicide during the first year of the COVID-19 pandemic","volume":"151","author":"Bridge","year":"2023","journal-title":"Pediatrics"},{"issue":"5","key":"10.1016\/j.jad.2026.121811_bb0035","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1037\/a0037091","article-title":"Genetic and environmental continuity in personality development: a meta-analysis","volume":"140","author":"Briley","year":"2014","journal-title":"Psychol. Bull."},{"issue":"1","key":"10.1016\/j.jad.2026.121811_bb0040","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s40479-024-00256-1","article-title":"The evaluation of a stepped care approach for early intervention of borderline personality disorder","volume":"11","author":"Cavelti","year":"2024","journal-title":"Borderline Personal. Disorder Emotion Dysregul."},{"issue":"2","key":"10.1016\/j.jad.2026.121811_bb0045","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1111\/jopy.12042","article-title":"The hierarchical structure and construct validity of the PID-5 trait measure in adolescence","volume":"82","author":"De Clercq","year":"2014","journal-title":"J. Pers."},{"issue":"10","key":"10.1016\/j.jad.2026.121811_bb0050","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1016\/j.jaac.2017.07.783","article-title":"Suicide attempts in juvenile bipolar versus major depressive disorders: systematic review and Meta-analysis","volume":"56","author":"De Crescenzo","year":"2017","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"issue":"5","key":"10.1016\/j.jad.2026.121811_bb0055","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1177\/08902070221119782","article-title":"Personality development across adolescence and young adulthood: the role of life transitions and self-concept clarity","volume":"37","author":"De Moor","year":"2023","journal-title":"Eur. J. Pers."},{"issue":"7","key":"10.1016\/j.jad.2026.121811_bb0060","doi-asserted-by":"crossref","DOI":"10.1037\/pas0000541","article-title":"Psychometric evaluation of the mini international neuropsychiatric interview for children and adolescents (MINI-KID)","volume":"30","author":"Duncan","year":"2018","journal-title":"Psychol. Assess."},{"key":"10.1016\/j.jad.2026.121811_bb0065","doi-asserted-by":"crossref","DOI":"10.1016\/j.psychres.2019.112481","article-title":"Suicide attempts in chronically depressed individuals: what are the risk factors?","volume":"287","author":"Ernst","year":"2020","journal-title":"Psychiatry Res."},{"issue":"1","key":"10.1016\/j.jad.2026.121811_bb0070","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1186\/s12888-014-0265-0","article-title":"The German version of the self-injurious thoughts and behaviors interview (SITBI-G): A tool to assess non-suicidal self-injury and suicidal behavior disorder","volume":"14","author":"Fischer","year":"2014","journal-title":"BMC Psychiatry"},{"issue":"2","key":"10.1016\/j.jad.2026.121811_bb0075","doi-asserted-by":"crossref","DOI":"10.1037\/bul0000084","article-title":"Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research","volume":"143","author":"Franklin","year":"2017","journal-title":"Psychol. Bull."},{"key":"10.1016\/j.jad.2026.121811_bb0080","author":"Fydrich","year":"1997"},{"key":"10.1016\/j.jad.2026.121811_bb0085","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.jad.2018.10.115","article-title":"Mental disorders as risk factors for suicidal behavior in young people: a meta-analysis and systematic review of longitudinal studies","volume":"245","author":"Gili","year":"2019","journal-title":"J. Affect. Disord."},{"issue":"3","key":"10.1016\/j.jad.2026.121811_bb0090","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1002\/pmh.1375","article-title":"Suicide attempts and self-injurious behaviours in adolescent and adult patients with borderline personality disorder","volume":"11","author":"Goodman","year":"2017","journal-title":"Personal. Ment. Health"},{"issue":"1","key":"10.1016\/j.jad.2026.121811_bb0095","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1037\/a0038889","article-title":"A critique of the cross-lagged panel model","volume":"20","author":"Hamaker","year":"2015","journal-title":"Psychol. Methods"},{"key":"10.1016\/j.jad.2026.121811_bb0100","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.jad.2024.06.038","article-title":"Does personality dysfunction add incremental utility over general psychopathology when modeling previous suicide attempts in adolescent patients?","volume":"361","author":"Hertel","year":"2024","journal-title":"J. Affect. Disord."},{"issue":"1","key":"10.1016\/j.jad.2026.121811_bb0105","doi-asserted-by":"crossref","DOI":"10.1037\/per0000197","article-title":"Assessing DSM-5-oriented level of personality functioning: development and psychometric evaluation of the semi-structured interview for personality functioning DSM-5 (STiP-5.1)","volume":"8","author":"Hutsebaut","year":"2017","journal-title":"Personal. Disord."},{"issue":"9","key":"10.1016\/j.jad.2026.121811_bb0110","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1001\/archpsyc.56.9.805","article-title":"Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood","volume":"56","author":"Johnson","year":"1999","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2026.121811_bb0115","series-title":"Why People Die by Suicide","author":"Joiner","year":"2005"},{"issue":"6","key":"10.1016\/j.jad.2026.121811_bb0120","doi-asserted-by":"crossref","DOI":"10.1080\/00223891.2018.1489257","article-title":"Comparison of the structured DSM\u20135 clinical interview for the level of personality functioning scale with the structured interview of personality organization","volume":"100","author":"Kampe","year":"2018","journal-title":"J. Pers. Assess."},{"issue":"3","key":"10.1016\/j.jad.2026.121811_bb0125","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1024\/1422-4917\/a000090","article-title":"Children\u2019s Depression Rating Scale \u2013 Revised (CDRS-R): Entwicklung einer deutschen Version und psychometrische G\u00fctekriterien in einer klinischen Stichprobe","volume":"39","author":"Keller","year":"2011","journal-title":"Z. Kinder Jugendpsychiatr. Psychother."},{"issue":"3","key":"10.1016\/j.jad.2026.121811_bb7266","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1026\/1616-3443\/a000821","article-title":"Personality Functioning","volume":"54","author":"Kerber","year":"2025","journal-title":"Z. Klin. Psychol. Psychother."},{"issue":"9","key":"10.1016\/j.jad.2026.121811_bb0130","doi-asserted-by":"crossref","first-page":"1879","DOI":"10.1017\/S0033291711002674","article-title":"Initial construction of a maladaptive personality trait model and inventory for DSM-5","volume":"42","author":"Krueger","year":"2012","journal-title":"Psychol. Med."},{"key":"10.1016\/j.jad.2026.121811_bb0135","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.jad.2022.05.010","article-title":"Personality factors associated with suicidal ideation, plans and attempts in adolescents","volume":"310","author":"McCallum","year":"2022","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2026.121811_bb0140","series-title":"Handbook of Personality. Theory and Research","first-page":"159","article-title":"The five-factor theory of personality","author":"McCrae","year":"2008"},{"key":"10.1016\/j.jad.2026.121811_bb0145","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.copsyc.2017.09.012","article-title":"DSM-5 alternative model of personality disorder: testing the trait perspective captured in criterion B","volume":"21","author":"Miller","year":"2018","journal-title":"Curr. Opin. Psychol."},{"key":"10.1016\/j.jad.2026.121811_bb0150","series-title":"The American Psychiatric Publishing Textbook of Personality Disorders","first-page":"39","article-title":"Articulating a core dimension of personality pathology","author":"Morey","year":"2014"},{"issue":"4","key":"10.1016\/j.jad.2026.121811_bb0155","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1080\/00223891.2011.577853","article-title":"Toward a model for assessing level of personality functioning in DSM\u20135, part II: empirical articulation of a core dimension of personality pathology","volume":"93","author":"Morey","year":"2011","journal-title":"J. Pers. Assess."},{"issue":"2","key":"10.1016\/j.jad.2026.121811_bb0160","doi-asserted-by":"crossref","DOI":"10.1007\/s10578-021-01239-x","article-title":"Suicidality and personality pathology in adolescence: a systematic review","volume":"54","author":"Moselli","year":"2023","journal-title":"Child Psychiatry Hum. Dev."},{"key":"10.1016\/j.jad.2026.121811_bb0165","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jad.2023.11.002","article-title":"Are big five personality traits associated to suicidal behaviour in adolescents? A systematic review and meta-analysis","volume":"347","author":"Mota","year":"2024","journal-title":"J. Affect. Disord."},{"issue":"6","key":"10.1016\/j.jad.2026.121811_bb0170","doi-asserted-by":"crossref","first-page":"275","DOI":"10.9740\/mhc.2018.11.275","article-title":"Major depressive disorder in children and adolescents","volume":"8","author":"Mullen","year":"2018","journal-title":"Mental Health Clin."},{"key":"10.1016\/j.jad.2026.121811_bb0175","first-page":"1","article-title":"Dimensional models of personality and a multidimensional framework for treating personality pathology","author":"Natoli","year":"2024","journal-title":"BJPsych Adv."},{"issue":"9969","key":"10.1016\/j.jad.2026.121811_bb0180","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1016\/S0140-6736(14)61283-6","article-title":"Personality disorder across the life course","volume":"385","author":"Newton-Howes","year":"2015","journal-title":"Lancet"},{"issue":"1754","key":"10.1016\/j.jad.2026.121811_bb0185","article-title":"The integrated motivational\u2013volitional model of suicidal behaviour","volume":"373","author":"O\u2019Connor","year":"2018","journal-title":"Philos. Trans. R. Soc., B"},{"issue":"1","key":"10.1016\/j.jad.2026.121811_bb0190","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1186\/s12888-024-05640-3","article-title":"Practical implications of ICD-11 personality disorder classifications","volume":"24","author":"Pan","year":"2024","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.jad.2026.121811_bb0195","series-title":"Children\u2019s Depression Rating Scale Revised","first-page":"979","volume":"21","author":"Poznanski","year":"1984"},{"issue":"7","key":"10.1016\/j.jad.2026.121811_bb0200","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1007\/s00406-023-01716-5","article-title":"Clinical predictors of suicidal ideation, suicide attempts and suicide death in depressive disorder: a systematic review and meta-analysis","volume":"274","author":"Riera-Serra","year":"2024","journal-title":"Eur. Arch. Psychiatry Clin. Neurosci."},{"issue":"4","key":"10.1016\/j.jad.2026.121811_bb0205","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1037\/per0000595","article-title":"Ten-year retrospective on the DSM\u20135 alternative model of personality disorder: seeing the forest for the trees","volume":"13","author":"Sharp","year":"2022","journal-title":"Personal. Disord. Theory Res. Treat."},{"issue":"4","key":"10.1016\/j.jad.2026.121811_bb0210","article-title":"Adolescence as a sensitive period for the development of personality disorder","volume":"41","author":"Sharp","year":"2018","journal-title":"Psychiatr. Clin. North Am., Borderline Personality Disorder"},{"issue":"Suppl. 20","key":"10.1016\/j.jad.2026.121811_bb0215","first-page":"22","article-title":"The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10","volume":"59","author":"Sheehan","year":"1998","journal-title":"J. Clin. Psychiatry"},{"issue":"3","key":"10.1016\/j.jad.2026.121811_bb0220","doi-asserted-by":"crossref","DOI":"10.4088\/JCP.09m05305whi","article-title":"Reliability and validity of the mini international neuropsychiatric interview for children and adolescents (MINI-KID)","volume":"71","author":"Sheehan","year":"2010","journal-title":"J. Clin. Psychiatry"},{"issue":"3","key":"10.1016\/j.jad.2026.121811_bb0225","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1111\/acps.13586","article-title":"Borderline personality disorder and depression severity predict suicidal outcomes: a six-month prospective cohort study of depression, bipolar depression, and borderline personality disorder","volume":"148","author":"S\u00f6derholm","year":"2023","journal-title":"Acta Psychiatr. Scand."},{"issue":"6","key":"10.1016\/j.jad.2026.121811_bb0230","doi-asserted-by":"crossref","first-page":"1875","DOI":"10.1007\/s00787-023-02272-y","article-title":"Factors associated with suicide attempt risk in adolescent inpatient psychiatric care: toward a practical model","volume":"33","author":"Szmajda","year":"2024","journal-title":"Eur. Child Adolesc. Psychiatry"},{"issue":"10","key":"10.1016\/j.jad.2026.121811_bb0235","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.14386","article-title":"Prevalence, onset, and course of suicidal behavior among adolescents and young adults in Germany","volume":"2","author":"Voss","year":"2019","journal-title":"JAMA Netw. Open"},{"issue":"4","key":"10.1016\/j.jad.2026.121811_bb0240","article-title":"Assessing criterion A in adolescents using the semistructured interview for personality functioning DSM-5","volume":"12","author":"Weekers","year":"2021","journal-title":"Personal. Disorders"},{"issue":"9904","key":"10.1016\/j.jad.2026.121811_bb0245","article-title":"Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010","volume":"382","author":"Whiteford","year":"2013","journal-title":"Lancet (Lond., Engl.)"},{"issue":"1","key":"10.1016\/j.jad.2026.121811_bb0250","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s40479-023-00238-9","article-title":"The relationship between mood disorders, personality disorder and suicidality in adolescence: does general personality disturbance play a significant role in predicting suicidal behavior?","volume":"10","author":"Williams","year":"2023","journal-title":"Borderline Personal. Disorder Emotion Dysregul."},{"key":"10.1016\/j.jad.2026.121811_bb0255","series-title":"Live Life: An Implementation Guide for Suicide Prevention in Countries","author":"World Health Organization","year":"2021"},{"issue":"12","key":"10.1016\/j.jad.2026.121811_bb0260","article-title":"Psychometric evaluation of the German version of the semi-structured interview for personality functioning DSM-5 (STiP-5.1)","volume":"69","author":"Zettl","year":"2019","journal-title":"Psychother. Psychosom. Med. Psychol."},{"issue":"1","key":"10.1016\/j.jad.2026.121811_bb0265","first-page":"46","article-title":"Maladaptive Pers\u00f6nlichkeitseigenschaften gem\u00e4\u00df DSM-5: Zusammenh\u00e4nge mit psychischer Belastung und ICD-10-Diagnosen in einer klinischen Stichprobe","volume":"18","author":"Zimmermann","year":"2014","journal-title":"PTT - Pers\u00f6nlichkeitsst\u00f6rungen: Theor. Ther."}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726006622?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726006622?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T13:37:13Z","timestamp":1777469833000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032726006622"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":54,"alternative-id":["S0165032726006622"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2026.121811","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Personality dysfunction according to the DSM-5 Alternative Model of Personality Disorders (AMPD) predicts suicide attempts in clinical high-risk adolescents","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2026.121811","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"121811"}}