Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis.

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dc.citation.issue7
dc.citation.volume51
dc.contributor.authorKothgassner OD
dc.contributor.authorGoreis A
dc.contributor.authorRobinson K
dc.contributor.authorHuscsava MM
dc.contributor.authorSchmahl C
dc.contributor.authorPlener PL
dc.coverage.spatialEngland
dc.date.accessioned2024-06-25T01:25:29Z
dc.date.available2024-06-25T01:25:29Z
dc.date.issued2021-05-01
dc.description.abstractBACKGROUND: Given the widespread nature and clinical consequences of self-harm and suicidal ideation among adolescents, establishing the efficacy of developmentally appropriate treatments that reduce both self-harm and suicidal ideation in the context of broader adolescent psychopathology is critical. METHODS: We conducted a systematic review and meta-analysis of the Dialectical Behaviour Therapy for Adolescents (DBT-A) literature on treating self-injury in adolescents (12-19 years). We searched for eligible trials and treatment evaluations published prior to July 2020 in MEDLINE/PubMed, Scopus, Google Scholar, EMBASE, and the Cochrane Library databases for clinical trials. Twenty-one studies were identified [five randomized-controlled trials (RCTs), three controlled clinical trials (CCTs), and 13 pre-post evaluations]. We extracted data for predefined primary (self-harm, suicidal ideation) and secondary outcomes (borderline personality symptoms; BPD) and calculated treatment effects for RCTs/CCTs and pre-post evaluations. This meta-analysis was pre-registered with OSF: osf.io/v83e7. RESULTS: Overall, the studies comprised 1673 adolescents. Compared to control groups, DBT-A showed small to moderate effects for reducing self-harm (g = -0.44; 95% CI -0.81 to -0.07) and suicidal ideation (g = -0.31, 95% CI -0.52 to -0.09). Pre-post evaluations suggested large effects for all outcomes (self-harm: g = -0.98, 95% CI -1.15 to -0.81; suicidal ideation: g = -1.16, 95% CI -1.51 to -0.80; BPD symptoms: g = -0.97, 95% CI -1.31 to -0.63). CONCLUSIONS: DBT-A appears to be a valuable treatment in reducing both adolescent self-harm and suicidal ideation. However, evidence that DBT-A reduces BPD symptoms was only found in pre-post evaluations.
dc.description.confidentialfalse
dc.edition.editionMay 2021
dc.format.pagination1057-1067
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/33875025
dc.identifier.citationKothgassner OD, Goreis A, Robinson K, Huscsava MM, Schmahl C, Plener PL. (2021). Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis.. Psychol Med. 51. 7. (pp. 1057-1067).
dc.identifier.doi10.1017/S0033291721001355
dc.identifier.eissn1469-8978
dc.identifier.elements-typejournal-article
dc.identifier.issn0033-2917
dc.identifier.piiS0033291721001355
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/69990
dc.languageeng
dc.publisherCambridge University Press
dc.publisher.urihttps://www.cambridge.org/core/journals/psychological-medicine/article/efficacy-of-dialectical-behavior-therapy-for-adolescent-selfharm-and-suicidal-ideation-a-systematic-review-and-metaanalysis/800E5FFC241040B62414A8EA25BA2B72#article
dc.relation.isPartOfPsychol Med
dc.rights(c) 2021 The Author/s
dc.rightsCC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAdolescence
dc.subjectDBT-A
dc.subjectborderline personality disorder
dc.subjectself-harm
dc.subjectself-injury
dc.subjectsuicidal ideation
dc.subjectAdolescent
dc.subjectBorderline Personality Disorder
dc.subjectDialectical Behavior Therapy
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectSelf-Injurious Behavior
dc.subjectSuicidal Ideation
dc.subjectYoung Adult
dc.titleEfficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis.
dc.typeJournal article
pubs.elements-id487191
pubs.organisational-groupOther
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