Dialektisk atferdsterapi for ungdommer med gjentatt suicidal og selvskadende adferd - en
randomisert kontrollert undersökelse
Sammanfattning
We examined whether a shortened form of
dialectical behavior therapy (DBT-A) is more
effective than enhanced usual care (EUC) to
reduce self-harm in adolescents. This was a
randomized study of 77 adolescents with
recent and repetitive self-harm treated at
community child and adolescent psychiatric
outpatient clinics randomly allocated to either
DBT-A or EUC. Assessments of self-harm,
suicidal ideation, depression, hopelessness
and symptoms of borderline personality
disorder were made at baseline and after 9,
15 and 19 weeks (end of trial period) and
frequency of hospitalizations and emergency-
department visits over the trial period were
recorded. Treatment retention was generally
good in both treatment conditions and the
use of emergency services was low. DBT-A
was superior to EUC in reducing self-harm,
suicidal ideation and depressive symptoms.
Effect sizes were large for treatment outcomes
in patients who received DBT-A, whereas
effect sizes were small for outcomes in
patients receiving EUC. We conclude that
DBT-A may be an effective intervention to
reduce self-harm, suicidal ideation and
depression and adolescents with repetitive self-harming behavior.