Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis.
dc.citation.issue | 7 | |
dc.citation.volume | 51 | |
dc.contributor.author | Kothgassner OD | |
dc.contributor.author | Goreis A | |
dc.contributor.author | Robinson K | |
dc.contributor.author | Huscsava MM | |
dc.contributor.author | Schmahl C | |
dc.contributor.author | Plener PL | |
dc.coverage.spatial | England | |
dc.date.accessioned | 2024-06-25T01:25:29Z | |
dc.date.available | 2024-06-25T01:25:29Z | |
dc.date.issued | 2021-05-01 | |
dc.description.abstract | BACKGROUND: 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.confidential | false | |
dc.edition.edition | May 2021 | |
dc.format.pagination | 1057-1067 | |
dc.identifier.author-url | https://www.ncbi.nlm.nih.gov/pubmed/33875025 | |
dc.identifier.citation | Kothgassner 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.doi | 10.1017/S0033291721001355 | |
dc.identifier.eissn | 1469-8978 | |
dc.identifier.elements-type | journal-article | |
dc.identifier.issn | 0033-2917 | |
dc.identifier.pii | S0033291721001355 | |
dc.identifier.uri | https://mro.massey.ac.nz/handle/10179/69990 | |
dc.language | eng | |
dc.publisher | Cambridge University Press | |
dc.publisher.uri | https://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.isPartOf | Psychol Med | |
dc.rights | (c) 2021 The Author/s | |
dc.rights | CC BY 4.0 | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Adolescence | |
dc.subject | DBT-A | |
dc.subject | borderline personality disorder | |
dc.subject | self-harm | |
dc.subject | self-injury | |
dc.subject | suicidal ideation | |
dc.subject | Adolescent | |
dc.subject | Borderline Personality Disorder | |
dc.subject | Dialectical Behavior Therapy | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Male | |
dc.subject | Self-Injurious Behavior | |
dc.subject | Suicidal Ideation | |
dc.subject | Young Adult | |
dc.title | Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis. | |
dc.type | Journal article | |
pubs.elements-id | 487191 | |
pubs.organisational-group | Other |
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