A study conducted by Oumaya ., Friedman., Pham., Abou Abdallah., Guelfi.,& Rouillon (2008) to examined the relationships between self-mutilations, suicide and related therapeutic approach. This pattern of behavior is common in BPD and is frequently repetitive. Thus, borderline patients with history of self-mutilation behavior have about twice the rate of suicide than those without. Self-mutilating suicide attempters may be at greater risk for suicide for several reasons: they experience more feeling of depression and hopelessness, they are more aggressive and display more affective instability, they underestimate the lethality of their suicidal behavior and finally, they are troubled by suicidal thoughts for longer and more frequent periods
