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Adolescents with BPD had more frequent suicide attempts and recreational drug use, greater functional impairment and childhood adversity, and worse therapeutic alliance. However, they showed large improvements in BPD severity and suicide ideation on intent-to-treat analyses (d = 1.59 and .96, respectively), with 38% (n = 33) dropping out of treatment. These findings underscore the need for better identification of BPD among suicidal adolescents and additional research to evaluate the efficacy of DDP as a promising treatment for this population.<\/jats:p>","DOI":"10.1521\/pedi.2026.40.2.151","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:59:27Z","timestamp":1777312767000},"page":"151-165","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence, Characteristics, and Outcomes of Borderline Personality Disorder Among Suicidal Adolescent Outpatients"],"prefix":"10.1521","volume":"40","author":[{"given":"Rebecca J.","family":"Shields","sequence":"first","affiliation":[{"name":"From Department of Psychiatry, Norton College of Medicine at SUNY Upstate Medical University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica P.","family":"Helfrich","sequence":"additional","affiliation":[{"name":"From Department of Psychiatry, Norton College of Medicine at SUNY Upstate Medical University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachael","family":"Kuch-Cecconi","sequence":"additional","affiliation":[{"name":"From Department of Psychiatry, Norton College of Medicine at SUNY Upstate Medical University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Glatt","sequence":"additional","affiliation":[{"name":"From Department of Psychiatry, Norton College of Medicine at SUNY Upstate Medical University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Gregory","sequence":"additional","affiliation":[{"name":"From Department of Psychiatry, Norton College of Medicine at SUNY Upstate Medical University."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1053\/comp.2002.33497"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.4809"},{"key":"ref3","unstructured":"Centers for Disease Control and Prevention. 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