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Whether risk levels of and risk factors for suicidal ideation (SI) and suicide attempts (SA) are similar or different in these disorders remains unclear, as few directly comparative studies exist. The relationship of short\u2010term changes in depression severity and SI is underinvestigated, and might differ across groups, for example, between BPD and non\u2010BPD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We followed, for 6\u2009months, a cohort of treatment\u2010seeking, major depressive episode (MDE) patients in psychiatric care (original\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009124), stratified into MDE\/MDD, MDE\/BD and MDE\/BPD subcohorts. We examined risks of suicide\u2010related outcomes and their risk factors prospectively. We examined the covariation of SI and depression over time with biweekly online modified Patient Health Questionnaire 9 surveys and analysed this relationship through multi\u2010level modelling.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Risk of SA in BPD (22.2%) was higher than non\u2010BPD (4.23%) patients. In regression models, BPD severity was correlated with risk of SA and clinically significant SI. During follow\u2010up, mean depression severity and changes in depression symptoms were associated with SI risk regardless of diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Concurrent BPD in depression seems predictive for high risk of SA. Severity of BPD features is relevant for assessing risk of SA and SI in MDE. Changes in depressive symptoms indicate concurrent changes in risk of SI. BPD status at intake can index risk for future SA, whereas depressive symptoms appear a useful continuously monitored risk index.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.13586","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T01:11:55Z","timestamp":1689210715000},"page":"222-232","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Borderline personality disorder and depression severity predict suicidal outcomes: A six\u2010month prospective cohort study of depression, bipolar depression, and borderline personality disorder"],"prefix":"10.1111","volume":"148","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9371-881X","authenticated-orcid":false,"given":"John J.","family":"S\u00f6derholm","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Helsinki and Helsinki University Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5142-7800","authenticated-orcid":false,"given":"J. 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