Introduction: Borderline personality disorder is one of those disorders that disrupts the normal life of sufferers and causes them to have suicidal thoughts. Accordingly, the present study was conducted to investigate the effectiveness of psychoanalysis with dynamic- communication approach on suicidal thoughts and self-concept in adolescents with borderline personality disorder.
Methods: The current study was a semi-experimental application with a pre-test-post-test design with a control group and a two-month follow-up period. The statistical population of the study consisted of adolescents with borderline personality disorder who referred to counseling and psychotherapy centers in Tehran during the second half of 2023. In this research, 32 adolescent with borderline personality disorder were selected by purposeful sampling and randomly assigned to experimental and control groups (16 people in the experimental group and 16 people in the control group). The adolescents in the experimental group received the psychoanalysis with dynamic- communication approach during eight weeks in sixteen 90-minute sessions. Suicidal Thoughts Questionnaire (STQ), Self-Concept Questionnaire (SCQ) and Borderline Personality Disorder Questionnaire (BPDQ) were used in the present study. The data were analyzed through mixed ANOVA via SPSS23 software.
Results:  The results showed that psychoanalysis with dynamic- communication approach has significant effect on the suicidal thoughts (p<0.0001) and self-concept (p<0.0001) in adolescents with borderline personality disorder.
Conclusion: Based on the findings of the research, psychoanalysis with dynamic- communication approach by focusing precisely and completely on the patient's emotions, using empathic statements, reflecting the patient's words, focusing on the experience full of emotion, exploring internal physical symptoms, redefining oneself and accepting the experience can be as an efficient method to reduce the suicidal thoughts and increace self-concept in adolescents with borderline personality disorder.