Borderline personality disorder (BPD) is 1 of only 2 DSM - IV
diagnoses for which suicidal behavior is a criterion.1 Borderline personality disorder is a severe and persistent mental disorder experience of severe emotional distress and behavioral dyscontrol.1 - 3 Among patients with BPD, 69 % to 80 % engage in suicidal behavior,4 - 9 with a suicide
rate of up to 9 %.10 Forty percent of the highest users of inpatient psychiatric services receive a
diagnosis of BPD.11, 12 Patients with BPD use more services than those with major depression13 and other personality disorders.14 Among patients with BPD seen for treatment, 72 % have had at least 1 psychiatric hospitalization and 97 % have received
outpatient treatment from a mean of 6.1 previous therapists.15, 16 Despite this high - use pattern, patients with BPD have high
rates of treatment failure.17, 18