Suicidal Behavior in Borderline Personality Disorder: Prevalence, Risk Factors, Prediction, and Prevention

Suicidal behaviour is frequent in patients with borderline personality disorder; at least three-quarters of these patients attempt suicide & approximately 10% eventually die by suicide. Borderline patients at greatest risk for suicidal behaviour include those with prior attempts, comorbid major depressive disorder, or a substance use disorder. Clinicians must avoid the mistake of thinking a pattern of repeated attempts indicates little desire to die. Clinicians have an important role in preventing suicide attempts & suicides by understanding the risk factors. (66 refs.) JA