Study Limitations in Report of Suicidal Behavior Among Women With Co-occurring PTSD and Borderline Personality Disorder/Response to Nepon et al. Letter

[...] individuals with borderline personality disorder and PTSD, in combination or alone, are at heightened risk of attempting suicide and should be Carefully assessed and monitored for suicide risk. [...] the impact of co-occurring PTSD on the frequency of suicide attempt among individuals with borderline personality disorder appears to vary depending on the degree of suicidality and treatment-seeking status of the sample. PTSD emerges as a consistent predictor of increased risk of suicide attempts among community borderline personality disorder samples that exhibit lower rates of baseline suicidality, whereas PTSD is not associated with a heightened risk of suicide attempts among suicidal and treatment-seeking borderline personality disorder patients.