Current Psychiatry Reports

, Volume 14, Issue 1, pp 79–85 | Cite as

Suicidal Risk and Management in Borderline Personality Disorder

  • Marianne GoodmanEmail author
  • Tracey Roiff
  • Allison H. Oakes
  • Joel Paris


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 



Dr. Goodman has received grant support the US Department of Defense and Veterans Administration and received honoraria from the Northern California Psychiatric Association.

Dr. Paris has received royalties from Guilford Press.

Ms. Roiff and Ms. Oakes reported no potential conflicts of interest relevant to this article.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

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

Authors and Affiliations

  • Marianne Goodman
    • 1
    Email author
  • 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

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