A review of prevalence of BPD among adult prisoners

Abstract

Background: Symptoms of borderline personality disorder (BPD) such as impulsivity, risk-taking behaviour, interpersonal conflict, and difficulties managing anger may leave people vulnerable to offending behaviour. There is a paucity of literature regarding the prevalence rates of BPD among adult prisoners in Australia. Looking to the international literature, Black et al. (2007) reported that rates of BPD among newly admitted prisoners were approximately 30%. A clear understanding of the prevalence of BPD in this population will enable interventions to be appropriately targeted utilising evidence-based practices, which may lead to reductions in recidivism.

Objectives: To explore rates of BPD among male and female prisoners globally with the view of informing local initiatives.

Methods: A systematic review of the literature was conducted. The screening strategy included papers where rates of BPD diagnosis or symptoms were reported within a prison population. The focus was on adult offenders (aged 18+ years) with an international scope.

Findings: Preliminary findings suggest that the prevalence of a BPD diagnosis in a prison population could be as high as 60%; however, this may vary by gender. The rates of borderline symptoms are likely to be even higher. We will present findings from both the international and Australian literature.

Conclusion: Further research is required to understand the rates of BPD diagnosis and/or borderline symptoms among offenders, particularly in Australia. A greater understanding of BPD in forensic settings may assist in early prevention programmes and reducing recidivism.

Reference Black DW, Gunter T, Allen J, et al. (2007) Borderline personality disorder in male and female offenders newly committed to prison. Comprehensive Psychiatry 48(5): 400–405.