Dialectical Behavior Therapy Is Effective for the Treatment of Suicidal Behavior: A Meta-Analysis

被引：256

作者：

DeCou, Christopher R. ^{[1
]}

Comtois, Katherine Anne ^{[1
]}

Landes, Sara J. ^{[2
,3
]}

机构：

[1] Univ Washington, Sch Med, Seattle, WA 98195 USA

[2] Univ Arkansas Med Sci, Coll Med, Little Rock, AR 72205 USA

[3] Cent Arkansas Vet Healthcare Syst, South Cent Mental Illness Res Educ Clin Ctr MIREC, Little Rock, AR USA

来源：

BEHAVIOR THERAPY | 2019年 / 50卷 / 01期

关键词：

dialectical behavior therapy (DBT); self-directed violence; suicide; suididal ideation; meta-analysis; BORDERLINE PERSONALITY-DISORDER; RANDOMIZED CONTROLLED-TRIAL; WOMEN; ADOLESCENTS; PREVENTION; MANAGEMENT; STANDARD; DBT;

D O I：

10.1016/j.beth.2018.03.009

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Dialectical Behavior Therapy (DBT) prioritizes suicidal behavior and other self-directed violence as the primary treatment targets, and has been demonstrated to reduce self directed violence in clinical trials. This paper synthesizes findings from controlled trials that assessed self-directed violence and suicidality, including suicide attempts, non suicidal self-injury (NSSI), suicidal ideation, and accessing psychiatric crisis services. Eighteen controlled trials of DBT were identified. Random effects meta-analyses demonstrated that DBT reduced self-directed violence (d=-.324, 95% CI=-.471 to -.176), and reduced frequency of psychiatric crisis services (d=-.379, 95% CI=-.581 to -.176). There was not a significant pooled effect of DBT with regard to suicidal ideation (d=-.229, 95% CI=-.473 to .016). Our findings may reflect the prioritization of behavior over thoughts within DBT, and offer implications for clinical practice and future research concerning the implementation of DBT for acute suicidality.

引用

页码：60 / 72

页数：13

共 30 条

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