Emotion Matter BPD Loss Registry
Emotions Matter, a 501c3 non-profit organization with a mission to connect and empower those impacted by borderline personality disorder (BPD) to raise awareness and improve mental health care.

By collecting information about lives lost from BPD, we aim to:

1) Collect stories about individuals who have lost their lives to BPD.
2) Bring awareness to trends in BPD loss that might help us advocate for better mental health care.
3) Encourage researchers to study BPD loss to improve mortality associated with BPD.
4) Help those coping with BPD loss.

Thank you in advance for sharing your BPD loss story with us. At the end of this survey, you will be given the option to share the deceased's information for research or advocacy purposes. No information will be publicly shared without your permission.

If at any point you find it difficult or upsetting to complete this survey, please seek help by accessing support, or calling a mental health professional. More information on resources on bereavement resources, https://complicatedgrief.columbia.edu/resources/grief-organizations/. There is no obligation to answer all the questions.
In the event of suicidal thoughts or crisis, contact the National Suicide Suicide Prevention lifeline, 1-800-273-TALK (8255).

If you have any questions about the survey, please contact Emotions Matter at info@emotionsmatterbpd.org or 516-350-8387.

Email address *
Today's Date *
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First and Last Name of Deceased *
Your answer
Birthday of Deceased *
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Gender of Deceased *
Required
Race/Ethnicity of Deceased
Relationship Status of Deceased
Date of Deceased's Death *
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Location of Death (City, State, Country)
Your answer
Cause of Death Listed on Death Certificate *
Required
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