Dialectical Behavior Therapy vs Enhanced Usual Care for Suicidal and Self-harming Adolescents. 10 Year Follow-up

Conditions:   Self-Harm, Deliberate;   Borderline Personality Disorder Interventions:   Behavioral: Dialectical Behaviour Therapy for Adolescents (DBT-A);   Behavioral: Enhanced usual care Sponsors:   Oslo University Hospital;   University of Oslo Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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CONCLUSIONS: Our assessments showed beneficial effects on all primary outcomes in favour of BPD-tailored psychotherapy compared with TAU. However, only the outcome of BPD severity reached the MIREDIF-defined cut-off for a clinically meaningful improvement. Subgroup analyses found no evidence of a difference in effect estimates between the different types of therapies (compared to TAU) . The pooled analysis of psychotherapy versus waiting list or no treatment found significant improvement on BPD severity, psychosocial functioning and depression at end of treatment, but these findings were based on low-quality evidence, and ...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Many persons with autism spectrum disorder (ASD) are treated in long-term specialised care. In this population, suicidal behaviour troubles patients, families, and specialists in the field because it is diffic...
Source: BMC Psychiatry - Category: Psychiatry Authors: Tags: Study protocol Source Type: research
Dialectical Behaviour Therapy (DBT) is an evidence-based psychological therapy, originally developed for the treatment of people with a diagnosis of borderline personality disorder, that specifically focuses on the treatment of suicidal and self-harm behav...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Program and Other Evaluations, Effectiveness Studies Source Type: news
This study evaluates DBT-ST for a subgroup of individuals attending community mental health services who may have a diagnosis of BPD (or emerging BPD traits) but who are not actively self-harming.MethodsParticipants in this study were 100 adults attending community mental health services with a diagnosis of BPD, emerging BPD traits or emotion dysregulation who were not actively self-harming. The majority of participants were female (71%), aged 25 –34 years (32%), single (48%) and unemployed (34%). Participants partook in a 24-week DBT-ST intervention delivered by DBT therapists. Outcome measures included the D...
Source: Borderline Personality Disorder and Emotion Dysregulation - Category: Psychiatry Source Type: research
Publication date: January 2020Source: The Lancet Psychiatry, Volume 7, Issue 1Author(s): Rajamannar Ramasubbu, Darren L Clark, Sandra Golding, Keith S Dobson, Aaron Mackie, Angela Haffenden, Zelma HT KissSummaryBackgroundStimulation adjustment is required to optimise outcomes of deep brain stimulation (DBS) for treatment-resistant depression, but controlled data for ideal stimulation parameters are poor or insufficient. We aimed to establish the efficacy and safety of short pulse width (SPW) and long pulse width (LPW) subcallosal cingulate DBS in depression.MethodsWe did a double-blind, randomised, crossover trial in an ac...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research
CONCLUSIONS: Cognitive behavioural therapy, exercise or relaxation techniques probably reduce depressive symptoms (moderate-certainty evidence) for adults with ESKD treated with dialysis. Cognitive behavioural therapy probably increases health-related quality of life. Evidence for spiritual practices, acupressure, telephone support, and meditation is of low certainty . Similarly, evidence for effects of psychosocial interventions on suicide risk, major depression, hospitalisation, withdrawal from dialysis, and adverse events is of low or very low certainty. PMID: 31789430 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: Findings indicate most of the sample populated an 'improvers' class for both depression and anxiety. Pre-treatment variables identified as predictive of poor treatment response may need to be considered by practitioners in potential triage referral decision policies, supporting cost-effective and efficient services. Further research around predictors of clinical outcome is recommended. PRACTITIONER POINTS: Most of the sample belonged to an 'improvers' class. Several pre-treatment variables predicted poor treatment response (unemployment, suicide risk, neglect, medication, previous or concurrent treatments...
Source: The British Journal of Clinical Psychology - Category: Psychiatry & Psychology Authors: Tags: Br J Clin Psychol Source Type: research
ConclusionFew studies were found, which limits the possibility of drawing strong conclusions about cost effectiveness. There is some evidence based on decision-analytic modelling that anti-bullying interventions represent value for money. Generally, there is a lack of studies that take into account long-term costs and effects.Systematic Review Registration NumberCRD42019115882.
Source: Applied Health Economics and Health Policy - Category: Health Management Source Type: research
Condition:   Suicide, Attempted Interventions:   Behavioral: Attempted Suicide Short Intervention Program (ASSIP);   Behavioral: Cognitive Behavioural Therapy (CBT);   Behavioral: Suicide Prevention Pathway (SPP) Sponsors:   Gold Coast Hospital and Health Service;   Bond University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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