How are suicidal ideation and behaviors treated in borderline personality disorder (BPD)?

Updated: Nov 05, 2018
  • Author: Roy H Lubit, MD, PhD; Chief Editor: Caroly Pataki, MD  more...
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Answer

Suicidal behavior may be a chronic problem. Although patients with BPD often threaten suicide due to poor emotion regulation and poor frustration tolerance, a clinician must never ignore suicide threats or attempts. In children and adolescents, any suicidal ideation or attempt should be treated with a thorough psychiatric evaluation and appropriate inpatient hospitalization to ensure the patient’s safety.

Because of the boundary issues in patients with BPD, boundaries must be strictly observed. These patients are particularly likely to be seductive, test boundaries, and even to make false allegations.

If BPD or borderline disorder of childhood is suspected, a child psychiatrist or other appropriately trained mental health professional should be consulted.


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