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Serotonergic function and self-injurious behavior in personality disorder patients
Journal article   Peer reviewed

Serotonergic function and self-injurious behavior in personality disorder patients

Antonia S. New, Robert L. Trestman, Vivian Mitropoulou, Deana S. Benishay, Emil Coccaro, Jeremy Silverman, Larry J. Siever and Jan F Silverman
Psychiatry research, v 69(1), pp 17-26
1997
PMID: 9080541

Abstract

Gender Serotonin Suicide
Self-directed aggression, whether in the form of non-suicidal self-mutilation or suicidal behavior, is a prominent feature of personality disorders. We hypothesized that self-injurious behavior, like suicidal behavior, represents a form of self-directed aggression, and may, like suicidal behavior and impulsive aggression, be associated with a decrease in central serotonin function in personality disorder patients. Ninety-seven patients with DSM-III personal ity disorder underwent d,l-fenfluramine challenge as an assessment of serotonergic activity. Patients with a history of self-mutilation or suicide had blunted prolactin and cortisol responses to d,l-fenfluramine compared to those with neither, and those with both had the most blunted responses to fenfluramine. These data raise the possibility that the central 5-HT abnormality, previously associated with suicidal behavior, may be associated with self-directed violence and not necessarily specifically with suicidal intent.

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
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