People with NPD (narcissistic personality disorder), or ASPD (antisocial personality disorder) might exaggerate feelings to get attention or something else from you. Though if you were on a suicide hotline, ASPD people would have no reason for calling if not genuinely in distress, and i doubt you were encountering that many NPD people.
Is it that hard to believe that some people might actually be commonly dealing with very strong emotions and impulses they can't control? It's really unfair of you to label others emotions as fake and attention-seeking, when you really have very little data to go on as to whether that's the case or not.
And above all "Borderline people are not manipulative!" I wish i could shout that from the mountaintops, but i can't and most people don't care to listen anyways. You're inaccurately and likely prematurely applying the wrong label, and should give even regulars and even people you think you know well the benefit of the doubt.