{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T13:09:55Z","timestamp":1769605795122,"version":"3.49.0"},"reference-count":43,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,2,23]],"date-time":"2015-02-23T00:00:00Z","timestamp":1424649600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatry Clin Neurosci"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>Suicidal behavior (<jats:styled-content style=\"fixed-case\">SB<\/jats:styled-content>) is a major mental health problem. The research has identified many factors related to <jats:styled-content style=\"fixed-case\">SB<\/jats:styled-content>, such as problems in the developmental period and psychiatric and personality disorders. However, the interrelation of these factors has not been clearly delineated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The subjects were 155 patients consecutively admitted with <jats:styled-content style=\"fixed-case\">SB<\/jats:styled-content> to a psychiatric center in Tokyo. Structured interviews, including the Structured Clinical Interview for DSM\u2010IV (<jats:styled-content style=\"fixed-case\">SCID<\/jats:styled-content>)\u2010<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SCID\u2010II<\/jats:styled-content>, were conducted to determine characteristics of the <jats:styled-content style=\"fixed-case\">SB<\/jats:styled-content>\u2010related factors. To illustrate their interrelation, this study applied the technique of structural equation modeling. The latent constructs of life\u2010historical events, borderline personality disorder (<jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content>) features and three symptomatic disorders (depression, anxiety disorders and substance dependence) were aligned in the chronological order of their manifestation, and connected one another within the model. Indicator variables of life\u2010historical events were maltreatment in the developmental period and early onset of problematic behaviors. Indicators of <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> features and symptomatic disorders included the scales composed of the items in the <jats:styled-content style=\"fixed-case\">SCID<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The constructed model with favorable goodness\u2010of\u2010fit indices confirmed that <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> features had a mediating role in which they were influenced by life\u2010historical events, and exerted an influence on the symptomatic disorders. Outside the <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content>\u2010mediating paths, the model suggested three clinically interpretable links between life\u2010historical events and symptomatic disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The model of this study demonstrated the pathways from life\u2010historical events and <jats:styled-content style=\"fixed-case\">BPD<\/jats:styled-content> to symptomatic disorders, and indicated a generating process of psychiatric comorbidity among suicidal patients. The wide\u2010range view this study portrayed has important clinical implications, and deserves further substantiation by future studies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pcn.12280","type":"journal-article","created":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T07:55:29Z","timestamp":1422345329000},"page":"563-571","source":"Crossref","is-referenced-by-count":4,"title":["Pathways from life\u2010historical events and borderline personality disorder to symptomatic disorders among suicidal psychiatric patients: A study of structural equation modeling"],"prefix":"10.1111","volume":"69","author":[{"given":"Naoki","family":"Hayashi","sequence":"first","affiliation":[{"name":"Department of Psychiatry Teikyo University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miyabi","family":"Igarashi","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan Chubu Comprehensive Center for Mental Health and Welfare  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Imai","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Metropolitan Matsuzawa Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuka","family":"Yoshizawa","sequence":"additional","affiliation":[{"name":"Osaka Prefectural Tondabayashi Health Center  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaori","family":"Asamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoichi","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Kitanomaru Clinic  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taro","family":"Tokunaga","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Metropolitan Matsuzawa Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayo","family":"Ishimoto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Metropolitan Matsuzawa Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshitaka","family":"Tatebayashi","sequence":"additional","affiliation":[{"name":"Affective Disorders Research Team Tokyo Metropolitan Institute of Medical Science  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Kumagai","sequence":"additional","affiliation":[{"name":"Tokyo Government Bureau of Social Welfare and Public Health  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidetoki","family":"Ishii","sequence":"additional","affiliation":[{"name":"Graduate School of Education and Human Development Nagoya University  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Okazaki","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Metropolitan Matsuzawa Hospital  Tokyo Japan"},{"name":"Michinoo Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,2,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.8.1009"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.178.1.48"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a2278"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwn017"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-008-0011-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780198570059.003.0038"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2010.03.010"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.20674"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e3282f2309d"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1093\/med\/9780198570059.003.0039","volume-title":"Oxford Textbook of Suicidology and Suicide Prevention: A Global Perspective","author":"Stanley B","year":"2009"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1995.tb09743.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/08039480152036038"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.18.3.226.35445"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.109.074716"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2008.02.002"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2008.10.013"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-109"},{"key":"e_1_2_6_19_1","first-page":"11","volume-title":"Suicidal Behavior","author":"De Leo DBS","year":"2004"},{"key":"e_1_2_6_20_1","volume-title":"Structured Clinical Interview for DSM\u2010IV Axis I Disorders: SCID\u2010I: Clinician Version: Administration Booklet","author":"First MB","year":"1997"},{"key":"e_1_2_6_21_1","volume-title":"User's Guide for the Structured Clinical Interview for DSM\u2010IV Axis II Personality Disorders: SCID\u2010II","author":"First MB","year":"1997"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.2.284"},{"key":"e_1_2_6_24_1","first-page":"269","volume-title":"Structural Equation Modeling: A Second Course","author":"Finney SJ","year":"2006"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0049124192021002004"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328007SEM0803_2"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0193-953X(05)70145-3"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.59.8.741"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0010-440X(83)90026-3"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2006.20.1.9"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.8.1101"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.5.577"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.5.753"},{"key":"e_1_2_6_34_1","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1176\/ajp.156.8.1223","article-title":"Posttraumatic stress disorder in abused and neglected children grown up","volume":"156","author":"Widom CS","year":"1999","journal-title":"Am. J. Psychiatry"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v65n0804"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-199509000-00004"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2008.02413.x"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2012.26.5.804"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-0327(96)00023-7"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2012.26.6.927"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.112.3.375"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e31827f6449"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6394(1996)4:4<160::AID-DA2>3.0.CO;2-J"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-12-186"}],"container-title":["Psychiatry and Clinical Neurosciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpcn.12280","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pcn.12280","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T20:51:27Z","timestamp":1694465487000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pcn.12280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,23]]},"references-count":43,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1111\/pcn.12280"],"URL":"https:\/\/doi.org\/10.1111\/pcn.12280","archive":["Portico"],"relation":{},"ISSN":["1323-1316","1440-1819"],"issn-type":[{"value":"1323-1316","type":"print"},{"value":"1440-1819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,23]]}}}