Question 1

What is the MSI-BPD screening test?

Accepted Answer

The MSI-BPD (McLean Screening Instrument for Borderline Personality Disorder) is a 10-item yes/no screening tool developed by Dr. Mary Zanarini and colleagues at McLean Hospital. It is designed to identify individuals who may meet criteria for borderline personality disorder and is widely used in clinical and research settings.

Question 2

How is the MSI-BPD scored?

Accepted Answer

Each 'Yes' answer scores 1 point, for a total between 0 and 10. A score of 7 or higher is considered a positive screen, suggesting further evaluation may be warranted. Scores of 5 to 6 fall in an uncertain range where BPD cannot be ruled out. Scores of 0 to 4 suggest a lower likelihood.

Question 3

Is the MSI-BPD screening accurate?

Accepted Answer

The MSI-BPD has strong sensitivity (0.81) and specificity (0.85) for identifying borderline personality disorder at the cutoff of 7 or higher. However, it is a screening instrument, not a diagnostic tool. A positive screen should be followed by a comprehensive evaluation with a licensed mental health professional.

Question 4

Can this tool diagnose borderline personality disorder?

Accepted Answer

No. The MSI-BPD is a screening instrument only. A borderline personality disorder assessment requires a thorough clinical evaluation by a qualified mental health professional who considers your full history, symptoms, and functioning. This tool is for personal reflection and education only.

Question 5

What should I do if my MSI-BPD score is 7 or higher?

Accepted Answer

A score of 7 or higher suggests it may be helpful to speak with a mental health professional who is experienced with personality disorders. Effective treatments like Dialectical Behavior Therapy (DBT) and Mentalization-Based Therapy (MBT) are available. This screening result is a starting point for a conversation, not a final answer.

Question 6

Is my data stored or shared?

Accepted Answer

No. All scoring happens entirely in your browser using client-side JavaScript. Your answers are never sent to any server, stored in any database, or shared with anyone. When you close or reset this page, your responses are gone.

Question 7

What is borderline personality disorder (BPD)?

Accepted Answer

BPD is a mental health condition characterized by patterns of instability in relationships, self-image, and emotions, along with impulsive behavior. People with BPD may experience intense episodes of anger, anxiety, and depression that can last hours to days. With proper support and evidence-based treatment, many people with BPD experience significant improvement.

MSI-BPD Borderline Personality Disorder Screening

Before you begin

What Is the MSI-BPD Screening?

How Is the MSI-BPD Scored?

What Do My MSI-BPD Results Mean?

Before you begin