Current Psychiatry Reports

, Volume 14, Issue 1, pp 79–85

Suicidal Risk and Management in Borderline Personality Disorder

  • Marianne Goodman
  • Tracey Roiff
  • Allison H. Oakes
  • Joel Paris

DOI: 10.1007/s11920-011-0249-4

Cite this article as:
Goodman, M., Roiff, T., Oakes, A.H. et al. Curr Psychiatry Rep (2012) 14: 79. doi:10.1007/s11920-011-0249-4


This paper reviews recent advances in our understanding of suicidality in borderline personality disorder (BPD), with a focus on suicide risk assessment, guidelines for treatment, and medicolegal concerns. Relevant material on distinctions between suicide completers and suicide attempters, contributions of published American Psychiatric Association Guidelines, the controversial role of hospitalization, and management strategies regarding litigation is addressed. Despite accumulating data on suicidality in BPD, the current state of knowledge offers only partial clues to help identify the BPD patients most at risk of death by suicide, and offers a limited armamentarium of treatment targeted to suicide prevention, creating discomfort in clinicians and fears regarding litigation in the event of a successful suicide. Promising new interventions include less resource-intensive psychotherapies as well as brief crisis intervention.


Borderline personality disorder BPD Suicide Risk assessment Management Medicolegal 

Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2011

Authors and Affiliations

  • Marianne Goodman
    • 1
  • Tracey Roiff
    • 2
  • Allison H. Oakes
    • 3
  • Joel Paris
    • 4
  1. 1.Mount Sinai School of MedicineBronxUSA
  2. 2.Temple University School of MedicinePhiladelphiaUSA
  3. 3.Department of PsychologyUniversity of PennsylvaniaPhiladelphiaUSA
  4. 4.Department of Psychiatry, Division of Social and Transcultural PsychiatryMcGill UniversityMontrealCanada