Findings from a recent trial support the efficacy of dialectical behavior therapy (DBT) for reducing self-harm and suicide attempts in highly suicidal self-harming adolescents. On the basis of the criteria of 2 independent trials supporting efficacy, results support DBT as the first well-established, empirically supported treatment for decreasing repeated suicide attempts and self-harm in youths. The trial was conducted from January 1, 2012, through August 31, 2014, at 4 academic medical centers. A total of 173 participants aged 12 to 18 years with a prior lifetime suicide attempt (≥3 prior self-harm episodes, suicidal ideation, or emotional dysregulation) were studied. Participants were followed up for 1 year. Researchers found:
- Significant advantages were found for DBT on all primary outcomes after treatment: suicide attempts (65 [90.3%] of 72 receiving DBT vs 51 [78.9%] of 65 receiving individual and group supportive therapy [IGST] with no suicide attempts), nonsuicidal self-injury (41 [56.9%] of 72 receiving DBT vs 26 [40.0%] of 65 receiving IGST with no self-injury), and self-harm (39 [54.2%] of 72 receiving DBT vs 24 [36.9%] of 65 receiving IGST with no self-harm).
- Rates of self-harm decreased through 1-year follow-up.
McCauley E, Berk MS, Asarnow JR, et al. Efficacy of dialectical behavior therapy for adolescents at high risk for suicide. A randomized clinical trial. [Published online ahead of print June 20, 2018]. JAMA Psychiatry. doi:10.1001/jamapsychiatry.2018.1109.
This Week's Must Reads
Schizophrenia and Cardioprotective Treatment for MI, JAMA Psychiatry; ePub 2018 Oct 24; Kugathasan, et al
Schizophrenia and Goal-Directed Planning Examined, Schizophr Res; ePub 2018 Nov 22; Siddiqui, et al
Patient-Reported Outcomes for Weight Management, J Behav Health Serv Res; ePub 2018 Nov 21; Young, et al
Schizophrenia Linked with Aberrant Response to EBV, Schizophr Bull; ePub 2018 Nov 20; Dickerson, et al
Plasticity-Related Aberrations in Schizophrenia, Schizophr Res; ePub 2018 Nov 12; Smith, et al
Must Reads in Depression
Predictors of Response to sTMS in Patients with MDD, Depress Anxiety; ePub 2018 Nov 27; Philip, et al
Post-Bereavement Adjustment in Caregivers Examined, Am J Geriatr Psychiatry; ePub 2018 Nov 2; Stahl, et al
Depression in Later Life Intervention is Effective, JAMA Psychiatry; ePub 2018 Nov 7; Dias, et al
Inflammation Associated with Suicide Ideation , J Affect Disord; ePub 2018 Nov 6; Mezuk
Insomnia, Suicide Ideation in Schizophrenia Linked, Sleep; ePub 2018 Nov 8; Miller, Parker, et al