I imagine BPD is not the only reason we SI but a lot of the times it is. I come to this site because I self injured for a long time and in terrible ways. I am forty eight now and over the years have gained insight into BPD for which I fit every single dsm criteria. BPD offers a miserable life which others can't see and understand and is humiliating to even talk about even to a professional. Even we who suffer from it find our behaviors, thoughts and feelings confusing and frightening. I was told if I made it to forty it would get easier and it kind of did at around age forty-six. It still pops up its horrible head but I can sometimes recognize it now, but sometimes have to just ride it out. I have been institutionalized over eighty times. Even now I find creative and subtle ways to SI but I no longer cut, stab or burn. I feel the pain of every single post but rarely comment unless I think I can help someone about to SI. I could go on and on about what worked and what did not for me but this is not appropriate here. If my experience can help or offer support, please feel free to write. I wish this site existed years ago.