Violence in the lives of adult borderline patients

The purpose of this study was to assess the experiences of adult violence r eported by a sample of criteria-defined borderline patients and axis Ii con trols. The experiences of having had a physically abusive partner and/or ha ving been raped reported by 362 personality-disordered inpatients were asse ssed blind to diagnostic status using a semistructured research interview. Forty-six percent of borderline patients reported having been a victim of v iolence since the age of 18. Borderline patients (N = 290) were significant ly more likely than axis II controls (N = 72) to report having had a physic ally abusive partner, having been raped, having been raped multiple times, having been raped by a known perpetrator, and having been both physically a ssaulted by a partner and raped. Female borderline patients were significan tly more likely than male borderline patients to have been physically and/o r sexually assaulted as adults (50% vs. 26%. However, a significantly highe r percentage of borderline patients of both genders reported experiences of adult violence than controls of the same gender. Four risk factors were fo und to significantly predict whether borderline patients had an adult histo ry of being a victim of violence: female gender, a substance use disorder t hat began before the age of 18, childhood sexual abuse, and emotional withd rawal by a caretaker. The results of this study suggest that both male and female borderline patients are at substantial risk for being physically and /or sexually victimized as adults.