Enhanced Dialectical Behavior Therapy for Adolescents

Compass Behavioral Health47 enrolled

Overview

Suicide is a leading cause of death and significant concerns for adolescents and young adults. Dialectical Behavior Therapy for Adolescents (DBT-A) is an evidence-based intervention that effectively reduces life-threatening behaviors. Limited research examines the impact of adding individualized skills coaching sessions (ISCS) to the DBT-A model, a novel intervention referred to in this paper as "Enhanced DBT-A". This study evaluates the effectiveness of Enhanced DBT-A in reducing suicidality over 1 year of treatment in an outpatient and intensive outpatient setting.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Suicidality

Interventions

Enhanced DBT-ABEHAVIORAL

Participants engaged in Enhanced DBT-A services, including individual therapy, group skills training, phone coaching, and ISCS. Participants completed assessment batteries at intake, 6 months, and 1 year, and the outcome measures assessed participants' severity and intensity of suicidal ideation (SI), reasons for living, and depressive symptoms.

Eligibility

Sex: ALLMin age: 13 YearsMax age: 25 Years

Medical Language ↔ Plain English

Inclusion Criteria: * appropriateness for Stage 1 DBT, completion of all assessments within the designated timeframe, a non-zero score on the Columbia-Suicide Severity Rating Scale (C-SSRS) at intake, and participation in at least one ISCS between intake and 1 year from the first individual therapy session. Exclusion Criteria: * presenting with active psychosis, a primary diagnosis of substance use, who did not consent to data collection, or who had a zero score on the C-SSRS at intake

Locations (1)

Compass Behavioral Health

Tustin, California, United States

Outcomes

Primary Outcomes

Reasons for Living Inventory for Adolescents (RFL-A)

The Reasons for Living Inventory for Adolescents (RFL-A; Osman et al, 1998) is a 32-item self-report questionnaire that assesses adaptive reasons that may prevent an adolescent from engaging in life-threatening behavior.

Time frame: 1 year

PHQ-9

The current study administered the PHQ-9 to participants 18 years and older. The PHQ-9 (Kroenke et al, 2001) is a widely-used and psychometrically-robust self-report measure used to assess the prevalence of depressive symptoms in adults during a two-week period.

Time frame: 1 year

Columbia-Suicide Severity Rating Scale - Self Report Screener - Recent (C-SSRS).

To capture the severity and intensity of participants' SI and their corresponding suicide risk, we used items from the Columbia-Suicide Severity Rating Scale - Screen Version - Recent (C-SSRS; Posner et al, 2011).

Time frame: 1 year

Data from ClinicalTrials.gov

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