Co-occurring Disorders


Cutting • SuicideAnxietyADHDBipolar DisorderDepression


It is imperative to know that some people with Borderline Disorder have the intent to complete suicide.

You need to know the difference between hurting yourself for the reasons already discussed and the presence of a significant suicide risk. You can learn to understand the progression to suicide and determine early your risk.

The first stage is having thoughts that life is not worth living. The second stage is thinking about suicide itself, at first occasionally, and then more and more often. You may then progress to finding yourself planning how you would do this. This is a dangerous step in the progression towards suicide, as the next step is the final one, suicide itself.  

Some circumstances put you at greater risk. It is important for you to be aware of them and to take the necessary steps to take good care of yourself. If you have Borderline Disorder and engage in highly impulsive acts, such as the use of drugs and alcohol, your risk of suicide is between 4 and 9 percent according to historical data. Whether or not you fall into a high-risk category, if you feel yourself at risk for the symptoms of suicide, or you do not feel safe for any reason, you need to get help quickly. Major depressive disorder and bipolar disorder are common co-occurrences in people with Borderline Disorder that put you at greater risk for suicide. Those who use drugs, alcohol, or engage in self-harming behaviors or who were physically or sexually abused as children or teenagers are more likely to complete suicide than those with Borderline Disorder who have not been exposed to these events. The fact is, those who are most impulsive are at the most at risk.

Please know that repeated parasuicidal acts, or suicidal gestures, may result in your family and friends mistaking your reports of real suicide situations for parasuicidal behavior. It is essential that you learn to stop parasuicidal behaviors. A treatment plan and a clinical professional can help you with this. It is also essential for families and clinicians of those with Borderline Disorder to learn the risk factors for suicide in Borderline Disorder and remain alert to the risk of suicide in patients with the disorder.

There is a community of support here for you with the Black Sheep Project, a community of others who have a common story, who have faced similar challenges and emerged to build happy and successful lives. We are with you, here to help you find a therapist who is just the right fit and create a way forward with the ones you love.

As an alternative in a less immediately dangerous situation, you should contact your physician or mental health specialist if you have one. Also consider reaching out to a close friend or loved one, or contact a spiritual leader or someone else in your faith community.

Also consider these options if you're having suicidal thoughts:

  • Call your mental health specialist.

  • Call a suicide hotline number — in the U.S., call 911 or the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

  • Seek help from your primary doctor or other health care provider.

  • Reach out to a close friend or loved one.

  • Contact a spiritual leader or someone else in your faith community.