Dialectical behavior therapy for adolescents (DBT-A)
Dialectical behavior therapy for adolescents (DBT-A): A 20-week DBT-A with a weekly individual session (45 minutes), a weekly session of multifamily skills training groups with a caregiver (120 minutes), and telephone consultation with individual therapists outside therapy sessions as needed. The treatment consists of four components and is delivered according to the manual except for the phone coaching that PBU offers workdays until 8 pm.
Study summary
The goal of this pre-post-follow-up study is to examine how well the treatment Dialectical behavior therapy for adolescents (DBT-A) with a duration of 20 weeks for adolescents with self-harm and suicidal behavior works in routine clinical practice. The main questions it aims to answer are:
* to investigate how well DBT-A works after treatment and at 3-month follow-up, measured by episodes of self-harm, suicide attempts, depressive symptoms and quality of life, drop-out from treatment and number of possible participants who decline DBT-A.
* to investigate how well DBT-A works at 12 months follow-up
* to investigate whether pre-treatment factors can predict who will benefit from treatment
Eligibility
Sex
ALL
Min age
13 Years
Max age
18 Years
Healthy volunteers
No
Inclusion Criteria:
* Age 13-18 years
* Ongoing or a history of self-harm the last six months; current suicidal behavior (suicidal thoughts or at least one suicide attempt within the previous six months); at least three criteria of Diagnostic and Statistical Manual -5 (DSM-5) Borderline personality disorder (BPD), or the self-destruction criterion of DSM-5 BPD in addition to minimum two subthreshold criteria as assessed by the Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD) (First et al., 2016)
* Fluency in Norwegian
* One parent/trusted adult that can participate together with the adolescent.
Exclusion Criteria:
* Intellectual disability
* Significant learning or language impairments
* Autism spectrum disorder
* Anorexia Nervosa
* Any psychotic disorder
* Substance abuse disorder. These patients will be offered treatment as usual at their local outpatient clinic.
Primary outcome measure(s)
Functional Assessment of Self-Mutilation (FASM) — pre, after 20 weeks DBT-A ("post"), at 3 and 12 months follow-up Number of self-harm episodes in the last four weeks categorized by intention and self-harm method, number of suicide attempts, and number of emergency department visits caused by suicidal behavior. In addition, FASM includes functional assessment of self-mutilation.
Number of participants in need of emergency department visits caused by suicidal behavior — pre, after 20 weeks DBT-A ("post"), at 3 and 12 months follow-up Medical record data extraction
Trial sites (1)
Facility
City
Region
Status
Dept. of child and adolescent psychiatry, Haukeland University Hospital
Bergen
Bergen
Recruiting
More Haukeland University Hospital trials in Norway
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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