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Introduction: Suicide is the outcome of a process starting with the experimentation of an unbearable pain or hopelessness, passing from suicidal ideation/planning, arriving to parasuicidal behaviors/effective attempts. A better understanding of the role of motivation in structuring the suicidal process could represent a better guide to the clinical intervention. Most instruments investigating the suicidal motivation are self-reports, possibly resulting in a lack of valid evaluations: there is a need for assessment involving clinician report interviews. Objectives: The objectives of this study are to validate the Motivational Interview for Suicidality (MIS) and to investigate the associations between the MIS areas and the different aspects of suicidal process. Methods: The sample is composed by 80 adolescents referred to the Mood Disorders Unit of the Bambino Gesù Pediatric Hospital assessed as at risk for suicidal behavior using the Columbia-Suicide Severity Rating Scale. The MIS is a semi-structured clinician-report interview. The interview is composed by 7 areas and 14 sub-areas, evaluated on Likert scale 0-4: illnessmotivated attempts area, chronic presence of internal pessimistic criticism area, sense of defeat and entrapment area, relational area, external motivated crisis area, extreme and unusual cases area, discontrol area. Results: Interpersonal influence, Escape' Fantasy, Impulsivity and Fearless Conducts significatively differ between ideators and attempters, while only the Fearless Conducts significatively differ between low and high potential lethality's attempts. Conclusions: Several motivations were found to be characteristic of the attempters and of the high potential lethality attempters and must therefore be considered in the assessment of suicidal risk. [ABSTRACT FROM AUTHOR]

Introduction: It is proven by now that personality disorder represents a risk factor for suicidality. Specifically, personality disorders more frequently associated with suicidal behaviors are those of ex-cluster B. Moreover, the presence of cluster B personality disorders in people with suicidal behavior is more likely as younger is the age of onset of suicidal behavior. Objectives: To understand the role of different emerging personality traits of the former Cluster B disorders at different stages of the suicidal process. Methods: The sample is constituted of 100 subjects assessed as at risk for suicidality referred to the Mood Disorder Unit of Bambino Gesù Children's Hospital. All adolescents were administered with the Columbia Suicide Severity Scale (CSRSS)and SCID II. Analysis of variance has been conducted to differentiate the ex-Cluster B's Personality pathology dimensions (number of criteria presents) between subjects with only NSSI/ideas of death - suicidal ideation - low lethal suicide attempts and high lethal suicide attempts. Results: As expected Borderline personality dimensions significantly differ between ideators and low lethality attempters, while narcissistic disorder dimensions allow to distinguish ideators from the highly lethal attempters. As regards the dimensions of histrionic personality disorder, no significant difference between the groups emerges from the post-hoc comparisons. Conclusions: Even in adolescent samples it is critical to consider the contribution of emerging personality pathological traits to suicidal risk and to specifically regard not only BPD but alsoNPDtraits, which are correlated with the high lethality attempts. [ABSTRACT FROM AUTHOR]

Introduction: Reviews on adult population have indicated a prominent role for personality pathology as both a vulnerability and facilitating factor for suicidality. No such an overview of the role of personality pathology emerging patterns in adolescent suicidal population has been reached. Objectives: This work presents a review of research papers considering the role of personality pathology emerging patterns for suicidal ideation and conducts in adolescence with two main objectives: a) verify the role of personality pathology in suicidality; b) verify the specific pathological personality emerging patterns and associated features in suicidality. Methods: 213 Studies that investigated personality disorders or trait diagnoses as risk factors for adolescents' suicidal ideation/behavior were originally selected. Case report, reviews and metanalysis were excluded as well as studies not distinguishing adult form adolescent population and that did not report any systematic measure for suicidality. Finally, 73 articles were considered for this review in accord with PRISMA guidelines. Results: Both cross-sectional and longitudinal studies confirm a significant predictive incremental role of personality pathology (any disorder or number of disorders or the sum of criteria regardless of the specific disorders) for the deployment of the suicidal process in clinical as well as community samples. Furthermore, alongside the established role of Borderline Personality Disorder, several studies point to the relevance of Narcissistic, Hystrionic and antisocial traits. Conclusions: Further research is needed in order to achieve a more focused understanding of which features of the afore-mentioned personality disorders are closely linked to the evolution from suicidal ideation to actual conducts. [ABSTRACT FROM AUTHOR]