I am furious - Reporting bias in Deliberate Self-Harm Cases

I have never self-harmed because of a relationship break down; I am good at coping with difficult situations when I'm well. On the other hand bipolar disorder has put me in hospital at least a dozen times. Why then do I repeatedly read medical reports stating that I've self-harmed because of a break-up with "the boyfriend?" I haven't even been in a relationship with a man for over four years!

There I am in the Accident and Emergency unit, a police car or the 136 room at a psychiatric hospital, clearly having a mental catastrophe and some smart ass sees fit to focus on whatever tiny crack in my romantic life may have sent me spiralling into sickness, rather than the much stronger contributory factor, bipolar disorder.

Typically something annoying triggers a mood swing and things rapidly escalate so much so that the resulting crisis doesn't actually reflect the trigger at all. Because triggers are often of a romantic nature, professionals tend to assume from my levels of distress that a serious relationship has ended when actually the initial trigger could be something as trivial as somebody I'd been on one date with not answering their phone for 1 hour. No matter how many details they learn about the situation, "Row with boyfriend" sticks in their minds. The facts that they arrived at "row" from "didn't hug me for very long when he said goodbye" and "boyfriend" from "guy I've fancied for two weeks" don't seem to factor in their interpretation of the situation.

During my last trip to hospital I found a psychologist who listened. I admitted that I had experienced a minor disappointment with a potential love interest but that it was the sort of thing that warranted a couple of days of sulking, nothing more. I explained that the situation only represented about 10% of the problem and that bipolar disorder was the main bad guy. Afterwards I thanked her for listening rather than presuming I was deeply heartbroken.

However today I got a copy of her report. I read the opening sentence with fury,
"Difficulty accepting recent relationship break-up." It then went on to say, "The patient feels that the precipitants to this presentation to A&E are not associated with her bipolar disorder."

She actually wrote down the exact opposite of the point I laboured hard to make. Fortunately the rest of the report was very thorough, but this represents a recurrent problem with the system. How much damage is being made by hospital staff assuming that behind every self-harming young woman there is a boyfriend packing his bags?