Internationally prevalence rates vary from 4.4% to as high as 20% within the community (Bailey & Grenyer, 2013). These rates however are likely to be significantly higher in inpatient mental health units, with estimates as high as 50% prevalence (Fonagy et al., 2015). The vast discrepancy in rates is likely related to the controversy and reluctance of applying BPD as a diagnosis. This reluctance can present implications in accessing appropriate care and management (Fonagy et al., 2015). One significant implication is the rate of death by suicide for people with BPD are between 3% and 10%, a rate higher
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