How would you advise Macharia to proceed on the issue of upgrading the B1 System? Should they upgrade to higher version of SAP or should they just improve the B1? What criteria would you use as a basis for your decision/recommendations?
overreactions. Consequently, these characteristics frequently lead to volatile interpersonal relationships being formed with people in their lives (Sack, 2015). Clinical signs of the disorder commonly include emotional dysregulation and impulsive aggressions; however, the most useful indication for a correct diagnosis is repeated self-injury or chronic suicidal tendencies (Lieb, et al., 2004). Patients with this complex illness also usually meets DSM criteria for other psychiatric disorders. Numerous studies revealed that comorbidity in patients with BPD is a common occurrence. In fact, Soloff and colleagues (2005) found that suicide attempts in patients with comorbidity resulted in higher levels of lethality compared to patients that experience BPD on its own. The high rates of suicide in patients with comorbid BPD suggest that the self-destructive behaviour of these patients may not predominantly be due to the personality disorder itself, but instead be triggered by a secondary coexisting psychiatric disorder. For instance, an experiment comparing suicidal behaviour between BPD and comorbid BPD and major depressive episode, resulted in the latter generating a greater frequency of suicide attempts and a higher degree of lethal intent (Soloff, et al., 2000). By the same token, increased suicide attempts were exhibited in patients with a comorbid BPD and antisocial personality disorder compared to those without such comorbidity (Soloff, et al., 1994). While comorbidity of BPD with other high risk disorders may be a possible causal factor to suicidality, there is still insufficient information available to deduce whether particular combinations of disorders correlate with a higher lethality of suicidal behaviour. Additionally, comorbid BPD does not offer an explanation for the high mortality rates still present in individuals with BPD alone. Other than external factors, features often found to be consistent with suicide risk in most>GET ANSWER