MSI-BPD Self-Screening Form

Current Score 0
IMPORTANT DISCLAIMER This screening tool is for informational purposes only and is NOT a substitute for a professional diagnosis. A score indicating symptoms requires evaluation by a qualified mental health professional. Please consult a doctor or mental health provider if you have concerns about your mental health.

Instructions & Questions

Have you had the following experiences recently and throughout your life? Please select YES or NO for each question.

1. Have any of your closest relationships been trouble by a lot of arguments or repeated breakups?
2. Have you deliberately hurt yourself physically (e.g. punched yourself, cut yourself, burned yourself)? How about made a suicide attempt?
3. Have you had at least two other problems with impulsivity (e.g. eating binges and spending sprees, drinking too much and verbal outbursts)?
4. Have you been extremely moody?
5. Have you felt very angry a lot of the time? How about often acted in an angry or sarcastic manner?
6. Have you often been distrustful of other people?
7. Have you frequently felt unreal or as if things around you were unreal?
8. Have you chronically felt empty?
9. Have you often felt that you had no idea of who you are or that you have no identity?
10. Have you made desperate efforts to avoid feeling abandoned or being abandoned (e.g., repeatedly called someone to reassure yourself that he or she still cared, begged them not to leave you, clung to them physically)?
Please answer all 10 questions before submitting.
Your Score: [Score]
[Interpretation based on score will appear here]

Important Disclaimer: This screening tool is for informational purposes only and does not substitute for a professional evaluation. A score of 7 or higher suggests that Borderline Personality Disorder (BPD) might be present and indicates that a comprehensive assessment by a qualified mental health professional is recommended. Only a trained clinician can provide a diagnosis. Please discuss these results with a healthcare provider if you have concerns.