Borderline Personality Disorder in College students

Key things to know What the evidence shows
How common is it? 9.7% pooled clinically significant BPD traits/features*
Is it more common among college students? BPD features substantially represented in university samples, but estimates are method-sensitive
Are college students at higher risk? Developmentally relevant age group
How much higher is the risk? 9.7% pooled lifetime clinically significant BPD traits/features; high heterogeneity
How often can it be missed? Very high
Does it show up differently among college students? Strong Yes contextually
How might it look different? Relationship instability, identity disturbance, impulsivity, self-harm, emptiness and rejection sensitivity may become pronounced during transition to independent adulthood
What commonly occurs alongside it? MDD; anxiety; eating disorders; substance use; ADHD symptoms
What can it be confused with? Bipolar disorder; ADHD; PTSD/CPTSD; depression; normal developmental instability
Common screening tool MSI-BPD
Separate screening tool for college students None required
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