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Hi Ted,
You've come to the right place. Based on what you wrote, I think you did the best you could. I'm sorry you had to call for a wellness check, but if your niece is making earnest suicide threats, I think it's the right thing to do. That she was taken to the hospital tells me she truly was in a bad state--she couldn't convince the police that she was fine, and then her landlord approached her about a disturbance! It sounds to me like going to the hospital was a good thing, because it stabilized her enough to be discharged. Maybe if it happens again, she could be held for longer. Maybe then she'd get the help she really needs.
I think you're right to be concerned that your niece might accuse you of something terrible, for example molestation, assault or rape. I think this is fairly common among pwBPD, including the pwBPD in my life. My advice would be not ever to be alone with your niece; always have a witness present. That might not stop her of accusing you, but at least you'd have a witness. If you are gravely concerned, consider recording all your interactions with her. Also, keep records of all the correspondence from your niece, should you need to provide evidence of her threats. If she calls for a wellness check on you, my guess is that police would see you and surmise in about twenty seconds that you're absolutely fine. I personally wouldn't worry about that. She can threaten calling the police all she wants; you have no control over whether she does that or not.
It sounds to me like your niece is under a lot of stress and is taking it out on you. That her employer asked her to take a month off is telling; my guess is that she has been acting erratic at work. If you are in the US, HIPPA rules prevent hospitals from sharing patient data with others without patient consent. So I don't think the employer "found out" that your niece had an episode which landed her in the hospital, unless she outright told them. And I just don't think that an employer would dare ask a competent employee to take a leave of absence based on spending one day in the hospital. Rather, my guess is that your niece has been acting erratic in the workplace, and they had grounds to ask her to take a leave of absence. Maybe that's why she was threatening suicide in the first place--because she knew she was at risk in her employment situation. I think you can't really trust how pwBPD portray a situation, as they see everything from a victim perspective. In my experience, there is a high tendency to distort the truth, even outright lie, to protect one's image and status, and, most of all, to avoid shame. Core issues for pwBPD are a victim identity, blame-shifting and avoiding taking responsibility.
As for your sister's attempts to get her daughter back on meds, that's noble of her, yet my opinion is that nobody can force your niece to take meds. Your niece is an adult, and it's her choice to take meds or not. My guess is that your niece doesn't think she needs any meds, because she thinks her mom is the one who needs to be medicated! So I think it's a losing battle to try to "fix" your niece's life, because it's impossible to fix her life unless she does the work herself. If you or your sister are providing ANY support to her--financial, emotional, logistical, administrative, etc.--you might be enabling the status quo of dysfunction. If you read these boards, the general consensus here is that a pwBPD has to "hit bottom" before they decide to accept professional help to change. In the meantime, loved ones are caught in a situation of trying to "help," trying to "fix" things when it's impossible. In fact, the longer you enable dysfunction, the worse things might get.
In the meantime, what can you do? You might read through these boards for support. Know that you didn't do anything wrong, no matter how much your niece tries to convince you otherwise. If she's accusing you of outrageous things, that's most likely projection on her part. If she's saying that you shoud kill yourself and that you deserve to die, that's code for how she thinks about herself. She's ruminating about it so much that it emerges as an accusation. That's surely projection.
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