What referral criteria should I consider for a patient with suspected BPD to specialist mental health services?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Refer a patient with suspected borderline personality disorder to community mental health services for assessment if they present with repeatedly self-harmed, persistent risk-taking behaviour, or marked emotional instability .

If the patient is younger than 18 years, refer them to CAMHS for assessment .

Referral should be considered when their levels of distress and/or risk to self or others are increasing, or if these have not subsided despite attempts to reduce anxiety and improve coping skills .

Additionally, if the patient requests further help from specialist services, a referral should be made .

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