Borderline personality disorder (BPD) is a chronic psychiatric disorder characterized by pervasive affective instability, self-image disturbances, impulsivity, marked suicidality, and unstable interpersonal relationships as the core dimensions of psychopathology underlying the disorder. Across a wide range of situations, BPD causes significant impairments. Patients with BPD suffer considerable morbidity and mortality compared with other populations. Although BPD is more widely studied than any other personality disorder, it is not understood sufficiently. This paper briefly reviews the recent evidence on the prevalence, etiology, comorbidity, and treatment approaches of borderline personality disorder (BPD) by examining published studies, and aims to offer a more coherent framework for the understanding and management of borderline personality disorder.

We aimed to evaluate the effect of emotional dysregulation and impulsivity on suicidality in patients with bipolar disorder by comparing patients with bipolar disorder with healthy individuals. The study included 85 patients (59 women, 26 men) with bipolar disorder and education and age-matched 65 (44 women, 21 men) healthy volunteers. The patient group was separated into 3 different groups if they have a suicide attempt history, or have suicidal ideation without attempt, or have neither suicide attempt nor ideation. Sociodemographic Form, The Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsivity Scale (BIS-11), Scale for Suicidal Ideation, Suicide Behaviors Questionnaire scales were applied to the participants. Patients with bipolar disorder (n=85) had significantly higher scores for emotion dysregulation and impulsivity than the healthy controls (p<0.001, p<0.001). The scores of DERS, BIS-11, Suicidal ideation, and Suicide behavior scores were significantly correlated. DERS Total and BIS Total scores of bipolar patients with suicide attempts were significantly higher than bipolar patients with suicidal ideation and bipolar patients with neither attempt nor ideation. According to the hierarchical regression analysis, strategies, clarity, and non-planning impulsiveness were found as the predictors of suicidal ideation in bipolar patients. Suicidal behavior has a significant relationship between emotional dysregulation and impulsivity in patients with BD. Clinicians must carefully evaluate emotional dysregulation and impulsivity among this population to develop treatment strategies in suicide prevention.

The neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), monocyte to lymphocyte ratio (MLR), and monocyte to high-density lipoprotein (MHR) are indicators of inflammation. In t...

Pandemi gibi tüm dünyayı etkileyen ölümlere neden olan salgınlarda, toplumun psikososyal, ekonomik ve fiziksel kayıplardan etkilenmesinin yanı sıra; topluma en önde ruhsal ve fiziksel hizmet sunan sağlık çalışanları en çok etkilenen grup olmaktadır. Küresel tehdit oluşturan bu tür salgınlar; toplumda endişe, depresyon, ölüm kaygısı, yakınlarını kaybetme endişesi, belirsizliğe tahammülsüzlik gibi psikiyatrik belirtilere, salgın nedeniyle karantina uygulamalarının oluşturduğu psikososoyal ve ekonomik güçlüklere neden olmaktadır. Toplumun yanı sıra, tüm toplumu sosyoekonomik ve ruhsal yönden etkileyen pandemilerde; büyük ölçüde sosyal ve iş sorumluluğu yüklenen sağlık çalışanlarının ruhsal sağlığı da etkilenmektedir. Bu nedenle yazımızda; 2020 yılında tüm dünyayı etkisi altına alan COVID-19 pandemisinin, toplum ve sağlık çalışanları üzerindeki ruhsal etkisini ve alınabilecek koruyucu önlemleri derlemeyi planladık.