Fact 9: Self-Harm and Suicidal Behaviors
Self-harm and suicidal behaviors are unfortunately common symptoms among individuals with Borderline Personality Disorder (BPD). While self-harming acts such as cutting, burning, or hitting oneself might be bewildering to outsiders, for the person engaging in such actions, it’s often an attempt to cope with overwhelming emotions, not necessarily a bid to end life.
The reasons behind self-harming behaviors in BPD are complex and multifaceted. It’s essential to realize that these actions aren’t about seeking attention or manipulating others. For many, self-harm acts as a pressure valve, releasing pent-up emotional distress. For others, it might be a way to “feel something” amidst feelings of emptiness or to exert control over one’s body when everything else seems chaotic.
Several triggers might push someone with BPD towards self-harm or suicidal ideation. Intense episodes of anger, fear of real or imagined abandonment, or feelings of isolation can be potent triggers. Childhood trauma or neglect can also play a role, where self-harm becomes a learned coping mechanism from a tender age.
The implications of self-harm stretch beyond the immediate physical pain. Scarring, infections, and more severe physical harm are obvious risks. Yet, the emotional aftermath can be just as dire. Feelings of guilt, shame, and further alienation from loved ones often follow these episodes. Additionally, there’s always the looming risk that what started as non-suicidal self-injury could escalate into a life-threatening act. (9)
