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Dialectical Behavior Therapy Compared With Enhanced Usual Care for Adolescents With Repeated Suicidal and Self-Harming Behavior: Outcomes Over a One-Year Follow-Up.
- Source :
-
Journal of the American Academy of Child and Adolescent Psychiatry [J Am Acad Child Adolesc Psychiatry] 2016 Apr; Vol. 55 (4), pp. 295-300. Date of Electronic Publication: 2016 Jan 27. - Publication Year :
- 2016
-
Abstract
- Objective: We conducted a 1-year prospective follow-up study of posttreatment clinical outcomes in adolescents with recent and repetitive self-harm who had been randomly allocated to receive 19 weeks of either dialectical behavior therapy adapted for adolescents (DBT-A) or enhanced usual care (EUC) at community child and adolescent psychiatric outpatient clinics.<br />Method: Assessments of self-harm, suicidal ideation, depression, hopelessness, borderline symptoms, and global level of functioning were made at the end of the 19-week treatment period and at follow-up 1 year later. Altogether 75 of the 77 (97%) adolescents participated at both time points. Frequencies of hospitalizations, emergency department visits and other use of mental health care during the 1-year follow-up period were recorded. Change analyses were performed using mixed effects linear spline regression and mixed effect Poisson regression with robust variance.<br />Results: Over the 52-week follow-up period, DBT-A remained superior to EUC in reducing the frequency of self-harm. For other outcomes such as suicidal ideation, hopelessness, and depressive or borderline symptoms and for the global level of functioning, inter-group differences apparent at the 19-week assessment were no longer observed, mainly due to participants in the EUC group having significantly improved on these dimensions over the follow-up year, whereas DBT-A participants remained unchanged.<br />Conclusion: A stronger long-term reduction in self-harm and a more rapid recovery in suicidal ideation, depression, and borderline symptoms suggest that DBT-A may be a favorable treatment alternative for adolescents with repetitive self-harming behavior.<br />Clinical Trial Registration Information: Treatment for Adolescents With Deliberate Self Harm; http://clinicaltrials.gov/; NCT00675129.<br /> (Copyright © 2016 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Borderline Personality Disorder psychology
Female
Follow-Up Studies
Humans
Male
Prospective Studies
Self-Injurious Behavior psychology
Suicidal Ideation
Suicide, Attempted psychology
Treatment Outcome
Behavior Therapy methods
Borderline Personality Disorder therapy
Self-Injurious Behavior therapy
Suicide psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1527-5418
- Volume :
- 55
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of the American Academy of Child and Adolescent Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 27015720
- Full Text :
- https://doi.org/10.1016/j.jaac.2016.01.005