The DOI matches its Crossref record; 50 of the 50 references it cites were found in a registry or an index.
The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial
Abstract
Randomised controlled studies in research environments have demonstrated dialectical behaviour therapy (DBT) to be more efficacious than treatment as usual in reducing suicidal behaviour in patients with borderline personality disorder (BPD). Limited evidence exists for the effectiveness of DBT in the treatment of BPD within routine clinical settings. This study examines the clinical and cost effectiveness of providing DBT over treatment as usual in a routine Australian public mental health service. Forty-three adult patients with BPD were provided with outpatient DBT for six months with patient outcomes compared to those obtained from patients in a wait list group receiving treatment as usual (TAU) from the same service. After six months of treatment the DBT group showed significantly greater reductions in suicidal/non-suicidal self-injury, emergency department visits, psychiatric admissions and bed days. Self-report measures were administered to a reduced sample of patients. With this group, DBT patients demonstrated significantly improved depression, anxiety and general symptom severity scores compared to TAU at six months. Average treatment costs were significantly lower for those patients in DBT than those receiving TAU. Therapists who received intensive DBT training were shown to produce significantly greater improvements in patients' suicidal and non-suicidal self-injury than therapists who received only 4 day basic training. Further clinical improvements were achieved in patients offered an additional six months of DBT. This study demonstrates that providing DBT to patients within routine public mental health settings can be both clinically effective and cost effective.
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“However, it has not been evaluated outside a research setting.”
From Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design (2017) · cites this paper as [15]
In the citing paper
“The optimal duration of DBT has been understudied, but some findings indicate that brief formats (e.g. 6-month, 16-week) are effective in treating ED (e.g. Koons et al., 2001; Stanley et al., 2007; Pasieczny & Connor, 2011; Neacsiu et al., 2014; Delparte et al., 2019).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Pasieczny & Connor, 2011
Citations
Cites
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Cognitive-behavioral treatment of chronically parasuicidal borderline patients
Linehan, M. M. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810360024003 · Cited by 2,203
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.7.757 · Cited by 2,025
Borderline personality disorder
Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16770-6 · Cited by 1,369
The Prevalence of Personality Disorders in a Community Sample
Torgersen, S. O., Kringlen, E., & Cramer, V. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.6.590 · Cited by 1,356
Dialectical behavior therapy for patients with borderline personality disorder and drug dependence
Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999) · The American Journal on Addictions · doi:10.1080/105504999305686 · Cited by 1,043
Evaluating three treatments for borderline personality disorder: a multiwave study
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. (2007) · American Journal of Psychiatry · doi:10.1176/ajp.2007.164.6.922 · Cited by 997 · cited 2×
“Effect sizes in the current study were as large as those reported in previous DBT effectiveness studies (Comtois et al., 2007; Hjalmarsson et al., 2008) and RCTs (Clarkin et al., 2007; Koons et al., 2001; Linehan et al., 2006; McMain et al., 2009).”
ResultNaturalistic Follow-up of a Behavioral Treatment for Chronically Parasuicidal Borderline Patients
Linehan, M. M. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240055007 · Cited by 910
Prevalence and correlates of personality disorder in Great Britain
Coid, J., Yang, M., Tyrer, P., Roberts, A., & Ullrich, S. (2006) · British Journal of Psychiatry · doi:10.1192/bjp.188.5.423 · Cited by 901
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Wagner, T. (2016) · edoc Publication server (Humboldt University of Berlin) · doi:10.18452/17509
Zarabian, M. K., Salehi, M., Gholshani, F., & Hassani, F. (2016) · Avicenna Journal of Neuro Psych Physiology · doi:10.5812/ajnpp.59633
“Several studies have confirmed the efficacy of CBT (18, 19), while some have revealed the effectiveness of DBT (1, 3, 20, 21).”
BackgroundResultFlynn, D., Joyce, M., Gillespie, C., Kells, M., Swales, M. A., Spillane, A., Hurley, J., Hayes, A., Gallagher, E., Arensman, E., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12308195
Flynn, D., Joyce, M., Gillespie, C., Kells, M., Swales, M. A., Spillane, A., Hurley, J., Hayes, A., Gallagher, E., Arensman, E., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12308204
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Francis, B., Fino, E., & Heym, N. (2026) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2026.01.002
Westby, L., & Thoresen, S. H. (2026) · Child Care in Practice · doi:10.1080/13575279.2025.2585034
“DBT is a well-established evidence-based treatment programme, with a considerable body of research supporting the use of DBT with borderline and suicidal clients (DeCou et al., 2019; Feigenbaum et al., 2012; Panos et al., 2014; Pasieczny & Connor, 2011).”
Wang, B., Sherrington, C., Pivotto, L. R., Saputra, S., Comachio, J., Scarfe, J., Szewczyk, Z., Costa, N., Pearce, A. M., Hassett, L. M., et al. (2026) · PharmacoEconomics - Open · doi:10.1007/s41669-026-00652-z
Harris, M., Lamers, C., & Swales, M. A. (2026) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-026-00344-4
“…decreases in constant observation hours ( r = 0.09), use of restraints ( r = 0.09), and hospital days ( r = 0.10) following DBT-ITM, no consistent differences in resource use were observed between clients treated by intensively trained versus non-intensively trained therapists or teams [54, 55].”
InfluentialBaek, J., Lee, J., Park, W., & Kim, D. (2026) · Cognitive Therapy and Research · doi:10.1007/s10608-026-10726-1 · Cited by 2
“Eleven studies used DBT-based interventions (Bedics et al., 2015 ; Berk et al., 2020; Fischer & Peterson, 2015 ; Gibson et al., 2014; Harned et al., 2014; Li et al., 2025 ; Navarro-Haro et al., 2018 ; Pasieczny & Connor, 2011; Sinnaeve et al., 2018 ; Stanley et al., 2007; Wood et al., 2024).”
Maxwell, C. A., Holland, K. E., Young, L., Chen, E. Y., Olino, T. M., & Kendall, P. C. (2026) · Journal of Clinical Psychology · doi:10.1002/jclp.70195
La thérapie comportementale dialectique
Speranza, M., & Perroud, N. (2025) · Carrefour des psychothérapies · doi:10.3917/dbu.chiro.2025.01.0295
Psychotherapies for mood disorders
McGrath, P. J., & Roose, S. P. (2013) · Cambridge University Press eBooks · doi:10.1017/cbo9781139175869.019
Metadata
- Authors
- Pasieczny, N., & Connor, J.
- Affiliations
- Queensland Health (AU)
- The University of Queensland (AU)
- Corresponding author
- Pasieczny, Nathan
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 49
- Issue
- 1
- Pages
- 4-10
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2090458554
- Cited by
- 116
- References
- 49
- Citations by year
- 2026: 9 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 8 · 2021: 10 · 2020: 12 · 2019: 4 · 2018: 13 · 2017: 9 · 2016: 7 · 2015: 7 · 2014: 7 · 2013: 10 · 2012: 12
- FWCI
- 8.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Queensland Health
- Newcastle University
- Department of Biotechnology, Ministry of Science and Technology, India
- University of Queensland
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- dialectical behavior therapy, borderline personality disorder, suicidal behavior, non-suicidal self-injury, public mental health services, outpatient care, cost-effectiveness, therapist training, waitlist control, anxiety and depression, emergency department visits, psychiatric hospital admissions
- MeSH terms
- Adolescent, Adult, Australia, Mental Disorders, Borderline Personality Disorder, Female, Humans, Male, Mental Health Services, Middle Aged, Psychiatric Status Rating Scales, Severity of Illness Index, Cognitive Behavioral Therapy, Self-Injurious Behavior, Health Care Costs, Self Report
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