The DOI matches its Crossref record; 90 of the 92 references it cites were found in a registry or an index; 9 of the 25 sources its claims cite were checked for support.
Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial
Open accessAbstract
Objective We examined whether a shortened form of dialectical behavior therapy, dialectical behavior therapy for adolescents (DBT-A) is more effective than enhanced usual care (EUC) to reduce self-harm in adolescents. Method This was a randomized study of 77 adolescents with recent and repetitive self-harm treated at community child and adolescent psychiatric outpatient clinics who were 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. Results 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. Total number of treatment contacts was found to be a partial mediator of the association between treatment and changes in the severity of suicidal ideation, whereas no mediation effects were found on the other outcomes or for total treatment time. Conclusion DBT-A may be an effective intervention to reduce self-harm, suicidal ideation, and depression in adolescents with repetitive self-harming behavior.…
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Claims the paper makes
9 of 25 cited sources checked · 5 supported · 0 flagged · accuracy not yet measured
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Only 10% to 20% of adolescents who have self-harmed report receiving any kind of subsequent treatment.4”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Partly supportedcites [4] Ystgaard, 2009, Deliberate self-harm in adolescents: comparison between those who receive help following self-harm and those who do not, J Adolesc sourceExperimental — accuracy not yet measured
The ‘Contact with health services and other sources of help’ passage (page unavailable) reports that 18.8% of adolescents who self-harmed received help from health services, within the claimed range. The study measured help received, not whether adolescents received treatment, so the treatment wording is not established. (LLM, conf=0.86)
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Partly supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Self-harm is a powerful predictor of completed suicide.5”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Supportedcites [5] Owens, 2002, Fatal and non-fatal repetition of self-harm. Systematic review, Br J Psychiatry source
The Abstract describes a strong connection between self-harm and later suicide and says suicide risk among self-harm patients is hundreds of times higher than in the general population. The ‘Consequences of the inconsistent findings about suicide’ section calls recent non-fatal self-harm probably the major risk factor, while cautioning that predicting which individual patients will die by suicide remains difficult. (LLM, conf=0.94)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Supported
The sources with a verdict support this claim; the rest weren’t checked yet, have no full text we could read, or their verdicts aren’t rated yet.
In the paper
“The paucity of randomized controlled trials (RCTs) offers scarce evidence for effective treatments for self-harming adolescents.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Not checked — no full text of the sourcecites [10] Wood, 2001, Randomized trial of group therapy for repeated deliberate self-harm in adolescents, J Am Acad Child Adolesc Psychiatry source
- Supportedcites [13] Rossouw, 2012, Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial, J Am Acad Child Adolesc Psychiatry source
The introductory passage (section S) says there are few evidence-based treatments for adolescents who self-harm. It then describes several randomized trials with null or unreplicated results, supporting the claim that trial evidence for effective treatments is scarce. No page number is supplied in our copy. (LLM, conf=0.90)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesThe sources with a verdict support this claim; the rest weren’t checked yet, have no full text we could read, or their verdicts aren’t rated yet.
In the paper
“Wood et al. 10 developed a manual-based cognitive-behavioral therapy-oriented group therapy for adolescents that was shown to be more effective than treatment as usual (TAU) in reducing self-harm behaviors; however, these results were not replicated in 2 subsequent studies from the same group.11,12”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Not checked — no full text of the sourcecites [11] Hazell, 2009, Group therapy for repeated deliberate self-harm in adolescents: failure of replication of a randomized trial, J Am Acad Child Adolesc Psychiatry source
- Supportedcites [12] Green, 2011, Group therapy for adolescents with repeated self harm: randomised controlled trial with economic evaluation, BMJ source
The Discussion says this trial’s findings were at variance with Wood et al.’s initial pilot study and in line with a subsequent replication by Hazell and colleagues. The References list authors shared across the studies, supporting the description of them as studies from the same group. Page numbers are not available in our copy. (LLM, conf=0.92)
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesEvery source the paper cites for this claim was checked and supports it.
In the paper
“In a recent RCT reported by Rossouw and Fonagy, 13 mentalization-based treatment for adolescents was superior to TAU in reducing selfharm and depression.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Supportedcites [13] Rossouw, 2012, Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial, J Am Acad Child Adolesc Psychiatry source
The Discussion states that MBT-A was significantly more effective than TAU at reducing both self-harm and depression. The Abstract identifies the study as a randomized trial of 80 adolescents presenting with self-harm and comorbid depression. (LLM, conf=0.94)
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Only mentalization-based treatment (MBT-A) 13 has so far demonstrated comparable results.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
What the sources say
- Partly supportedcites [13] Rossouw, 2012, Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial, J Am Acad Child Adolesc Psychiatry sourceExperimental — accuracy not yet measured
The Discussion reports that MBT-A reduced adolescent self-harm more than routine care and says it was, to the authors’ knowledge, the first specialist adolescent self-harm program shown to outperform routine care. That supports a claim of unusual effectiveness in this setting, but the citing sentence does not identify the results to which MBT-A is supposedly comparable; this paper cannot establish that comparison. (LLM, conf=0.78)
Strength:boosted· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“From a pragmatic and economic perspective, an important difference between these treatments is the 3-times-longer duration of MBT-A (1 year) compared to DBT-A (4 months).”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
What the sources say
- Partly supportedcites [13] Rossouw, 2012, Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial, J Am Acad Child Adolesc Psychiatry sourceExperimental — accuracy not yet measured
The MBT-A section describes MBT-A as a year-long program. The paper’s comparison treatment was treatment as usual, not DBT-A; the passages do not establish a four-month DBT-A duration or the claimed threefold difference. (LLM, conf=0.87)
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Partly supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Treatment retention was generally good in both treatment conditions, and the use of emergency services was low.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Abstract
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“DBT-A was superior to EUC in reducing self-harm, suicidal ideation, and depressive symptoms.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Abstract
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Effect sizes were large for treatment outcomes in patients who received DBT-A, whereas effect sizes were small for outcomes in patients receiving EUC.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Abstract
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
- Probably not a substantial claim. 30
- It may state two separate claims as one. 27
Every source the paper cites for this claim was checked and supports it.
In the paper
“Previous DBT studies in adults have suggested that teaching specific behavioral skills may be an important factor in the reduction of self-harm and depression.43”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
What the sources say
- Supportedcites [43] Neacsiu, 2010, Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder, Behav Res Ther source
The Abstract reports that DBT skills use fully mediated reductions in suicide attempts and depression and partially mediated reductions in nonsuicidal self-injury among women with borderline personality disorder. The Results and Discussion likewise link increased skills use to reduced self-harm. The citing sentence’s tentative wording is consistent with those findings. (LLM, conf=0.93)
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Several uncontrolled studies have suggested that DBT-A could be effective at reducing self-harm while improving treatment compliance and satisfaction.[22][23][24][25][26][27]”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Not checked — no full text of the sourcecites [22] Woodberry, 2008, Implementing dialectical behavior therapy with adolescents and their families in a community outpatient clinic, Cogn Behav Pract source
- Not checked — no full text of the sourcecites [23] James, 2008, A preliminary community study of dialectical behavior therapy (DBT) with adolescent females demonstrating persistent, deliberate self-harm (DSH), Child Adolesc Ment Health source
- Partly supportedcites [24] Fleischhaker, 2011, Dialectical Behavioral Therapy for Adolescents (DBT-A): a clinical trial for patients with suicidal and self-injurious behavior and borderline symptoms with a one-year follow-up, Child Adolesc Psychiatry Ment Health sourceExperimental — accuracy not yet measured
The Results report significantly less non-suicidal self-injury after DBT-A, and the Results and Discussion report that 75% completed treatment, consistent with the claim about self-harm and treatment compliance. The paper is an uncontrolled study, but the full-text passages do not report improved treatment satisfaction; completion and acceptance do not establish that specific outcome. The indexed copy provides section labels but no page numbers. (LLM, conf=0.85)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Treatment retention was generally good in both treatment conditions, and the use of emergency services was low.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Abstract
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Total number of treatment contacts was found to be a partial mediator of the association between treatment and changes in the severity of suicidal ideation, whereas no mediation effects were found on the other outcomes or for total treatment time.”
- Also stated in: § Associations Between Outcomes and Intensity of Treatment · plain
“whereas no mediation effects were found on the other outcomes or for total treatment time.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Abstract
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Also stated in: § Associations Between Outcomes and Intensity of Treatment · plain
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Interestingly, for several outcome measures, differences between the treatment conditions increased toward the last third of the trial period; DBT-A patients continued their improvement, whereas EUC patients did not.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“EUC patients reported a mean of 4.7 (SD ¼ 5.5) episodes in the first 9 weeks and 3.3 (SD ¼ 6.8) in the subsequent 6 weeks”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Suicidal and Self-harm Behaviors and Suicidal Ideation
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The average number of weeks (holiday absence omitted) receiving any treatment was 14.9 (SD ¼ 5.6) for DBT-A patients and 12.9 (SD ¼ 5.1) for EUC patients.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Treatment Implementation and Retention
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The DBT-A group reported reductions in hopelessness and borderline symptoms (Table 2)”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Other Outcomes
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“DBT-A patients reported a mean of 4.1 (SD ¼ 5.8) and 1.2 (SD ¼ 2.0) episodes in the corresponding time intervals.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Suicidal and Self-harm Behaviors and Suicidal Ideation
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Intraclass correlation (ICC) was used to test IRR for C-GAS (ICC ¼ 0.42), MADRS score (ICC ¼ 0.76), LPC (IRR ¼ 0.99), and SCID-II diagnostic criteria for BPD (ICC ¼ 0.66).”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Raters and Integrity of Ratings
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Although some patients dropped out of treatment, all patients were followed from baseline to trial completion with no dropouts from the research.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Sample Characteristics
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“continuing to drop in DBT-A patients throughout the whole trial period, while leveling off toward the end of the trial in EUC patients.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Suicidal and Self-harm Behaviors and Suicidal Ideation
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The mean score for individual therapy sessions was 4.11 (SD ¼ 0.14; range ¼ 3.43-4.37)and for multifamily skills-training sessions, 4.18 (SD ¼ 0.10; range ¼ 3.93-4.36),both within the adherent range.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Treatment Implementation and Retention
Strength:plain· not yet calibratedn = 169Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“although there was a nonsignificant trend for DBT-A patients to have fewer visits.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“According to population studies, between 5% and 10% of adolescents report past-year self-harm, with cutting as the most commonly reported method.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“According to population studies, between 5% and 10% of adolescents report past-year self-harm, with cutting as the most commonly reported method.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“To ensure the integrity of blinding, a nonblinded project coordinator made all of the practical arrangements for follow-up interviews and collected treatment history data.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Raters and Integrity of Ratings
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Assessments were performed by independent interviewers blind to treatment allocation at baseline (interview and self-report) before randomization and then at 9 (self-report), 15 (self-report), and 19 weeks (interview and self-report) after the first treatment session.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Assessments
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Adherence to DBT continued to be assessed throughout the trial.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Treatments and Therapists
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“With an a error level of 0.05, a sample of 150 patients (75 in each group) would be required to provide 80% power with a 2-tailed test.”
- Also stated in: § Statistical Analysis · plain
“This analysis, using a more stringent nominal significance level (0.029) according to the recommendations by Pocock, 40 conducted after completion of the first 40 patients where no research dropouts had been observed, and with a self-harm repetition of 30% for DBT patients and 83% for EUC patients, revealed that the necessary number of patients to be included could be reduced to 80 (40 in each”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Statistical Analysis
What the sources say
- Not matchedcites [40] Pocock, 1983
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedn = 40Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Also stated in: § Statistical Analysis · plain
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“All study therapists received suicide risk assessment and management training before patient treatment commenced.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Treatments and Therapists
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Participants were randomly allocated (Figure 1) to receive either treatment at 1 of the participating child and adolescent psychiatric outpatient clinics in a 1:1 ratio stratified according to gender, presence of major depression, and presence of suicide intent during the most serious episode of self-harm behavior within the 16 weeks before enrollment.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > METHOD
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“All interviews were audio-taped, and interrater reliability (IRR) of diagnoses and outcome variables was checked by a child and adolescent psychiatrist (A.M.S.) who was expert in the relevant assessment instruments.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Raters and Integrity of Ratings
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“it was found, in several RCTs at independent sites, to be superior to comparison treatments in reducing suicidal and nonsuicidal self-harm, emergency department visits, and hospitalizations, improving outpatient treatment completion, global and social adjustment, and personality functioning.[15][16][17][18][19][20]”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Not checked — no full text of the sourcecites [15] Carter, 2010, Hunter DBT project: randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorder, Aust NZ J Psychiatry source
- Not checked — no full text of the sourcecites [16] Clarkin, 2007, Evaluating three treatments for borderline personality disorder: a multiwave study, Am J Psychiatry source
- Not checked — no full text of the sourcecites [17] Koons, 2001, Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder, Behav Ther source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“This was a single-blind randomized trial comparing DBT-A with enhanced usual care (EUC).”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > METHOD
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“EUC was not manualized or checked for fidelity, and was either psychodynamically oriented therapy or cognitivebehavioral therapy combined with psychopharmacological treatment as needed.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Treatments and Therapists
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“Wood et al. 10 developed a manual-based cognitive-behavioral therapy-oriented group therapy for adolescents that was shown to be more effective than treatment as usual (TAU) in reducing self-harm behaviors; however, these results were not replicated in 2 subsequent studies from the same group.11,12”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Not checked — no full text of the sourcecites [10] Wood, 2001, Randomized trial of group therapy for repeated deliberate self-harm in adolescents, J Am Acad Child Adolesc Psychiatry source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Ten independent assessors, blinded to treatment allocation and to results from baseline interviews, conducted interviews at trial completion.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Raters and Integrity of Ratings
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
In the paper
“Such traits are highly predictive of adult personality disorders and are associated with increased long-term impairment, morbidity, and mortality.9”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > S
What the sources say
- Not checked — no full text of the sourcecites [9] Winograd, 2008, Adolescent borderline symptoms in the community: prognosis for functioning over 20 years, J Child Psychol Psychiatry source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Data analysis was by intention to treat.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Statistical Analysis
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Diagnostic assessments were made by experienced clinicians blinded to treatment allocation.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Participants
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Treatment allocation of participants after baseline assessments was based on a permuted block randomization procedure with an undisclosed and variable blocking factor, and daily management of the randomization procedures was performed by an external group.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > METHOD
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Two child and adolescent psychiatrists and 2 doctorallevel clinicians, blinded to treatment allocation, conducted the baseline interviews.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Raters and Integrity of Ratings
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Treatment retention in this study was generally good, with no differences between the 2 treatment conditions.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“All patients were instructed not to disclose any information about their treatment.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Raters and Integrity of Ratings
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“DBT was superior to EUC in reducing frequency of self-harm, severity of suicidal ideation, and depressive symptoms, with generally large effect sizes for outcomes in the DBT-A condition, but weak or moderate outcomes in the EUC condition.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Fifteen psychologists and psychiatrists previously unfamiliar with DBT were recruited for the purpose of the trial and were trained through an 80-hour seminar with an additional 12 months of supervised practice on clinical training cases, and were rated for adherence to DBT-A treatment principles.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Treatments and Therapists
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Early monitoring and explicit targeting of self-harm throughout the 19 weeks of DBT-A may also have represented an important treatment component.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“DBT-A is an effective treatment for self-harming adolescents with traits of borderline personality disorder in terms of reducing self-harm behavior, suicidal ideation, and depressive symptoms.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Clinical Guidance
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This first randomized trial of DBT-A suggests that it is indeed possible for adolescents to be engaged, retained, and treated successfully and safely.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: This was the first randomized trial of the efficacy of a short version of DBT adapted for the treatment of multi-problem self-harming adolescents with BPD features.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“the integrity of ratings and blinding”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The study was adequately powered”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“however, the sample size was small, and findings should be interpreted with caution.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Only DBT-A patients received skills-training group sessions; this implied a significant difference in the treatment intensity between interventions.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“DBT-A has a substantially shorter duration than most comparable psychotherapeutic interventions targeting self-harming adolescents.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > Clinical Guidance
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“and the independence of raters.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Both DBT-A individual therapy sessions and the multifamily skills training were rated within the adherent range”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“As in most trials of self-harm, the patient sample was mostly female”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“the application of rigorous procedures for data collection”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The control condition, EUC, was not a manualized treatment, and EUC therapists were not monitored for fidelity.”
§ Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial > DISCUSSION
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
The paper relies on this without support.
The trial sample of adolescents with repetitive self-harming behavior is representative of the broader population of such adolescents.
“DBT-A may be an effective intervention to reduce self-harm, suicidal ideation, and depression in adolescents with repetitive self-harming behavior.”
The paper relies on this without support.
Despite the high population prevalence of self-harm in adolescents, little evidence of effective treatments exists.
“Despite the high population prevalence of selfharm in adolescents, little evidence of effective treatments exists.”
The paper relies on this without support.
Adolescents with borderline traits and repetitive self-harm are a difficult-to-treat patient population because of their reluctance to accept treatment, tendency to drop out early, and patient safety issues.
“Adolescents with borderline traits and repetitive self-harm have usually been considered a difficult-to-treat patient population because of their reluctance to accept treatment and their tendency to drop out early, and because of patient safety issues.”
The paper relies on this without support.
This was the first randomized trial of the efficacy of a short version of DBT adapted for the treatment of multi-problem self-harming adolescents with BPD features.
“This was the first randomized trial of the efficacy of a short version of DBT adapted for the treatment of multi-problem self-harming adolescents with BPD features.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source doesn’t support the claim as written.
In the citing paper
“However, again when the authors of the Mehlum 2014 trial used a longitudinal analysis based on scores from the SMFQ, it suggested significant positive benefits of DBT-A on depression.”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“However, such patients were included in many of the trials, especially those where a large proportion (or all) of the participants had a history of multiple episodes of SH at trial entry (e.g., Green 2011; Hazell 2009; Mehlum 2014; Rossouw 2012a; Wood 2001a).”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Correspondence with study authors for Mehlum 2014 further indicated that although information on outcomes over a 24 month follow-up period are still being collected, of those participants followed until the date of correspondance, none had died by suicide.”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“1 DBT-A Cooney 2010 2/13 1/15 34.9 % 2.55 [ 0.20, 31.86 ] Mehlum 2014 3/39 7/38 65.1 % 0.37 [ 0.09, 1.55 ] Subtotal (95% CI) 52 53 100.0 % 0.72 [ 0.12, 4.40 ] Total events: 5 (DBT-A/Mentalisaiton), 8 (Control) Heterogeneity: Tau 2 = 0.77; Chi 2 = 1.70, df = 1 (P = 0.19); I 2 =41% Test for overall effect: Z = 0.35 (P = 0.73)”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“DBT-A was not associated with a reduction in the proportion of adolescents repeating SH when compared to either TAU or enhanced usual care (n = 104; k = 2; OR 0.72, 95% CI 0.12 to 4.40; GRADE: low quality).”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
Experimental — accuracy not yet measured
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Total (95% CI) 53 53 100.0 % 9.14 [ -4.39, 22.66 ]”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“in whom there were also significantly greater reductions in depression, hopelessness, and suicidal ideation.”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Total (95% CI) 51 53 100.0 % -0.79 [ -2.78, 1.20 ] Heterogeneity: Tau 2 = 1.44;Chi 2 = 2.86, df = 1 (P = 0.09); I 2 =65% Test for overall effect: Z = 0.78 (P = 0.44)”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“They reported that both DBT-A (n = 39) and ‘enhanced usual care’ (non-manualized standard care provided at least once weekly for the purpose of the trial; n = 38) reduced BPD symptoms, but found no significant group difference.”
From Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis (2021) · cites this paper as Mehlum et al. (2014)
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Post-treatment outcomes are consistent with previous studies showing that brief DBT formats result in a significant decrease in these clinical dimensions at the end of the treatment (Stanley et al., 2007; Mehlum et al., 2014; Swales et al., 2016; Sahranavard & Miri, 2018).”
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 Mehlum et al., 2014
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Our analyses showed significant benefits of DBT-A for both hopelessness and suicidal ideation at the 19 week (post-intervention) assessment in Mehlum 2014 but not at the post-intervention assessment in Cooney 2010.”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
The cited source says what the claim attributes to it.
In the citing paper
“Participants in the DBT-A group in Mehlum 2014 attended significantly more group sessions compared to those in the enhanced usual care group (mean 11.2, SD 5.9, n = 39 versus mean 0.50, SD 2.10, n = 38; MD 10.70, 95% CI 8.73 to 12.67; k = 1; N = 77).”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
The cited source says what the claim attributes to it.
In the citing paper
“or for the number of telephone contacts received in Mehlum 2014 (mean 3.30, SD 4.50, n = 39 versus mean 3.50, SD 4.40, n = 38; MD -0.20, 95% CI -2.19 to 1.79; k = 1; N = 77).”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
The cited source says what the claim attributes to it.
In the citing paper
“In the latter trial, however, the authors reported a significantly greater reduction over time in frequency of repeated SH in adolescents in the DBT condition”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
The cited source says what the claim attributes to it.
In the citing paper
“The present update includes information from an additional five trials ( Cooney 2010; Green 2011; Mehlum 2014; Ougrin 2011a; Rossouw 2012a).”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
The cited source says what the claim attributes to it.
In the citing paper
“For four trials, the authors reported having conducted analyses on an intention-to-treat basis we therefore classified them as having a low risk of bias for this item (36.4%); although the methods used to conduct these analyses were not clear (Donaldson 2005;Harrington 1998;Mehlum 2014;Wood 2001a).”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Mehlum 2014
The cited source says what the claim attributes to it.
In the citing paper
“In terms of BPD symptoms, Mehlum et al. (2014) conducted the only RCT which assessed the efficacy of DBT-A in reducing BPD symptoms.”
From Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis (2021) · cites this paper as Mehlum et al. (2014)
The cited source says what the claim attributes to it.
In the citing paper
“This heterogeneity might be due to the use of different control interventions, with some studies using specific psychotherapeutic control interventions (McCauley et al., 2018) and providing enhanced usual care or additional propositions (Mehlum et al., 2014; Santamarina-Perez et al., 2020).”
From Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis (2021) · cites this paper as Mehlum et al., 2014
The cited source says what the claim attributes to it.
In the citing paper
“First, only one RCT (Mehlum et al., 2014) assessed the impact of DBT-A (compared to control interventions) on BPD symptoms, preventing us from meta-analytically considering change in BPD symptoms as a secondary outcome.”
From Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis (2021) · cites this paper as Mehlum et al., 2014
The cited source says what the claim attributes to it.
In the citing paper
“The evidence base for these adaptations is rather scarce. A recent review identified only ten randomized clinical trials [22–31].”
The cited source says what the claim attributes to it.
In the citing paper
“The results indicate that the majority of these trials did not show the superiority of the specialized treatments compared with treatment as usual.”
The cited source says what the claim attributes to it.
In the citing paper
“A large reduction in self-harm from pre- to post-treatment was found in a RCT in a CAMHS setting in Norway comparing DBT-A to treatment as usual, a clinical setting similar to the current study [38].”
From Evaluation of dialectical behavior therapy for adolescents in routine clinical practice: a pre-post study (2024) · cites this paper as [38]
The cited source says what the claim attributes to it.
In the citing paper
“The results from this study also found a large reduction in the severity of suicidal ideation from baseline to post-treatment [38].”
From Evaluation of dialectical behavior therapy for adolescents in routine clinical practice: a pre-post study (2024) · cites this paper as [38]
The cited source says what the claim attributes to it.
In the citing paper
“Treatments that emphasize ER as a core component have successfully reduced addiction, self-harm, symptoms of posttraumatic stress disorder, symptoms of borderline personality disorder (BPD), and depression and anxiety, for example (6–10).”
From An emotion regulation skills training for adolescents and parents: perceptions and acceptability of methodological aspects (2024) · cites this paper as [8]
The cited source says what the claim attributes to it.
In the citing paper
“Moreover, developmentally appropriate adaptations have made the treatment applicable to youth samples.”
From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Mehlum et al., 2014
The cited source says what the claim attributes to it.
In the citing paper
“Recently, DBT has been expanded for use with adolescents with a variety of psychological disorders, including those with borderline person-ality features and who engage in suicidal behavior and/or NSSI (Mehlum et al., 2014;Miller, Rathus, & Linehan, 2007).”
From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Mehlum et al., 2014
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Dropout rates varied widely, ranging from 15 to 75%.”
From The (cost-)effectiveness of early intervention (MBT-early) versus standard protocolized treatment (CBT) for emerging borderline personality disorder in adolescents (the EARLY study): a study protocol for a randomized controlled trial (2024) · cites this paper as [26]
Experimental — accuracy not yet measured
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Items 101–200 of 615
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“4 Borderline Personality Disorder-oriented Adolescent Family Therapy with individual drug counselling [11], another study exploring mentalization-based therapy (MBT) and TAU [12], one study comparing psychodynamic group therapy for adolescents with TAU [13], and two studies examining the efficacy of dialectical behavi…”
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“Currently, two RCTs have tested full-package DBT for adolescents with NSSI and features of BPD (McCauley et al., 2018; Mehlum et al., 2014).”
White Matter Microstructure in Adolescents and Young Adults With Non-Suicidal Self-Injury
Schreiner, M. W., Mueller, B. A., Klimes‐Dougan, B., Begnel, E. D., Fiecas, M. J. A., Hill, D. C., Lim, K. O., & Cullen, K. R. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.01019 · Cited by 35
“Clinically, these findings provide some insight as to how interventions that focus on self-regulation, such as dialectical behavior therapy (DBT), have shown success in treating NSSI (57).”
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“Chi square tests and a t test were conducted as preliminary analyses to assess differences between groups (DBT, TAU) on diagnosis, gender, and age.”
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Mann, J. J., Michel, C. A., & Auerbach, R. P. (2023) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.23021004 · Cited by 34
“Treatment dose may be a factor because a single session of DBT was not found to reduce suicidal ideation (97), whereas most effective studies employed a 20-week DBT intervention (98, 99).”
Tschan, T., Ruf, C., Schmid, M., & In‐Albon, T. (2017) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-016-0142-3 · Cited by 33
“As specific treatment programs for adolescents with NSSI are still in development, practitioners mostly use treatment programs for BPD [58].”
BackgroundEfficacy of Dialectical Behavior Therapy for Adolescents in a Partial Hospitalization Program
Lenz, A., & Conte, G. S. D. (2018) · Journal of Counseling & Development · doi:10.1002/jcad.12174 · Cited by 24
Depression in Maltreated Children and Adolescents
Bellis, M. D. D., Nooner, K. B., Scheid, J. M., & Cohen, J. A. (2019) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2019.02.002 · Cited by 35
“traits and was found to be more effective than enhanced usual care in reducing selfharm, suicidal ideation, and depression.(37) DBT is a promising treatment of maltreated adolescents with depression, self-injury, and suicidality.”
BackgroundSchmidt, S. J., & Schimmelmann, B. G. (2015) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-015-0698-0 · Cited by 33
“, [26]) that were mainly associated with therapist characteristics, such as flexibility, treatment adherence, and therapeutic alliance.”
Itzhaky, L., Davaasambuu, S., Ellis, S. P., Cisneros-Trujillo, S., Hannett, K., Scolaro, K., Stanley, B. H., Mann, J. J., Wainberg, M. L., Oquendo, M. A., et al. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.12.094 · Cited by 33
Self-citationSimões, R., Santos, J. C., & Martinho, J. (2020) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2020.07.014 · Cited by 32
Zalewski, M., Maliken, A. C., Lengua, L. J., Martin, C. G., Roos, L. E., & Everett, Y. (2020) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12363 · Cited by 32
Khosravani, V., Berk, M., Bastan, F. S., Ardestani, S. M. S., & Wrobel, A. L. (2021) · International Journal of Psychiatry in Clinical Practice · doi:10.1080/13651501.2021.1879867 · Cited by 32
“…regulation, and distress tolerance skills may be useful in clinical settings for BD patients to decrease emotion reactivity, emotion dysregulation, clinical symptoms of BD (Van Dijk et al. 2013; Neacsiu et al. 2014; Eisner et al. 2017; Zargar et al. 2019), and suicidal risk (Mehlum et al., 2014).”
BackgroundReview of family‐based treatments from 2010 to 2019 for suicidal ideation and behavior
Frey, L. M., Hunt, Q. A., Russon, J. M., & Diamond, G. (2022) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12568 · Cited by 32
Chanen, A. M., Betts, J. K., Jackson, H., Cotton, S. M., Gleeson, J., Davey, C. G., Thompson, K., Perera, S., Rayner, V., Chong, S. Y., et al. (2022) · The Canadian Journal of Psychiatry · doi:10.1177/0706743721992677 · Cited by 30
Yuan, S. N. V., Kwok, R. K. H., & Ougrin, D. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00104 · Cited by 34
Babeva, K. N., Klomhaus, A. M., Sugar, C. A., Fitzpatrick, O. M., & Asarnow, J. R. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12573 · Cited by 34
Chanen, A. M., Jackson, H. J., Cotton, S., Gleeson, J., Davey, C. G., Betts, J. K., Reid, S., Thompson, K. N., & McCutcheon, L. (2015) · Trials · doi:10.1186/s13063-015-1001-x · Cited by 31
Oransky, M., Burke, E. Z., & Steever, J. (2018) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2018.03.002 · Cited by 31
Flynn, D., Kells, M., Joyce, M., Corcoran, P. E., Gillespie, C., Suarez, C., Swales, M. A., & Arensman, E. (2018) · Child and Adolescent Mental Health · doi:10.1111/camh.12298 · Cited by 33
“DBT-A has been delivered to adolescents with self-harm and suicidal behaviour with positive outcomes reported in outpatient and community settings (Fleischhaker et al., 2011; James, Taylor, Winmill, & Alfoadari, 2008; Mehlum et al., 2014; Rathus & Miller, 2002; Woodberry & Popenoe, 2008).”
BackgroundPreliminary Evidence for the Effectiveness of Dialectical Behavior Therapy for Adolescents
Hollenbaugh, K. M. H., & Lenz, A. S. (2018) · Journal of Counseling & Development · doi:10.1002/jcad.12186 · Cited by 29
Xavier, A. S., Otero, P., Blanco, V., & Vázquez, F. L. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12568 · Cited by 29
Emotional and Behavioral Dysregulation in Severe Mental Illness
Sharma, A., & McClellan, J. (2021) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2020.10.010 · Cited by 30
General psychiatric management for adolescents (GPM-A) with borderline personality disorder
Ilagan, G. S., & Choi-Kain, L. W. (2020) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2020.05.006 · Cited by 31
Hutsebaut, J., & Aleva, A. (2020) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2020.06.004 · Cited by 36
Treatments for Self-Injurious Thoughts and Behaviors in Youth: Progress and Challenges
Bettis, A. H., Liu, R. T., Walsh, B. W., & Klonsky, E. D. (2020) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2020.1806759 · Cited by 32
“…review by Glenn and colleagues, DBT-A was classified as the only well-established treatment for SITBs in youth, indicating it has demonstrated clinical efficacy in reducing both self-harm and suicidal ideation in at least two independent RCTs (Mehlum et al., 2014; McCauley et al., 2018).”
BackgroundInfluentialSaving Lives: Recognizing and Intervening with Youth at Risk for Suicide
Arango, A., Gipson, P. Y., Votta, J. G., & King, C. A. (2021) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081219-103740 · Cited by 28
Johnstone, O. K., Marshall, J. J., & McIntosh, L. G. (2021) · Adolescent Research Review · doi:10.1007/s40894-020-00147-w · Cited by 28
Peng, B., Liao, J., Li, Y., Jia, G., Yang, J., Wu, Z., Zhang, J., Yang, Y., Luo, X., Wang, Y., et al. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.989711 · Cited by 29
Brief Interventions for Self-injurious Thoughts and Behaviors in Young People: A Systematic Review
Dobias, M. L., Chen, S., Fox, K. R., & Schleider, J. L. (2023) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-023-00424-9 · Cited by 25
Freeman, K. R., James, S., Klein, K. P., Mayo, D., & Montgomery, S. (2015) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-015-0412-6 · Cited by 26
“Of the six studies in this review, three relied on behavioral counts of DSH episodes per week or across sessions (Mehlum et al., 2014; Rathus & Miller, 2002; Tørmoen et al., 2014).”
InfluentialA game for emotional regulation in adolescents: The (body) interface device matters
Vara, M. D., Baños, R., Rasal, P., Rodríguez, A., Solaz, B. R., Wrzesien, M., & Alcañíz, M. (2015) · Computers in Human Behavior · doi:10.1016/j.chb.2015.12.033 · Cited by 31
Haga, E., Aas, E., Grøholt, B., Tørmoen, A. J., & Mehlum, L. I. (2018) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-018-0227-2 · Cited by 26
Self-citationWitt, K., Townsend, E., Arensman, E., Gunnell, D., Hazell, P., Salisbury, T. T., van Heeringen, K., & Hawton, K. E. (2019) · Archives of Suicide Research · doi:10.1080/13811118.2019.1592043 · Cited by 26
Pérez, V., Elices, M., Toll, A., Bobes, J., López‐Solà, C., Díaz‐Marsá, M., Grande, I., López-Peña, P., Vega, B. R., Ruíz-Veguilla, M., et al. (2020) · Revista de Psiquiatría y Salud Mental · doi:10.1016/j.rpsm.2020.11.004 · Cited by 25
Trajectories of Treatment Response and Nonresponse in Youth at High Risk for Suicide
Berk, M. S., Gallop, R., Asarnow, J. R., Adrian, M. C., Avina, C., Hughes, J. L., Korslund, K. E., & McCauley, E. (2022) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2022.01.010 · Cited by 25
Fadum, E. A., Stanley, B., Qin, P., Diep, L. M., & Mehlum, L. I. (2014) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2014.09.004 · Cited by 25
“So far, it seems that dialectical behavioral therapy [50,51] and mentalization-based treatment [52] have the strongest research support for their efficacy.”
BackgroundSelf-citationKolar, D. R., Hammerle, F., Jenetzky, E., & Huß, M. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-018049 · Cited by 26
Baldini, V., Gnazzo, M., Varallo, G., Vincenzo, M. D., Scorza, M., Franceschini, C., Ronchi, D. D., Fiorillo, A., & Plazzi, G. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1612067 · Cited by 30
Boylan, K., MacQUEEN, G. M., Kirkpatrick, R. H., Lee, J. C., & Santaguida, P. L. (2019) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-019-01341-5 · Cited by 25
“With DBT, in particular, being an evidenced based treatment for suicidal behaviours in adolescents [47, 50], it is likely that this intervention will be of particular benefit for youth with TR-MDD.”
BackgroundA Trauma-Informed Approach to Youth Suicide Prevention and Intervention
Tunno, A. M., Inscoe, A. B., Goldston, D. B., & Asarnow, J. R. (2021) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2021.1923089 · Cited by 26
“…behavior and self-harm urges/behavior include cognitive-behavior based interventions with strong family components (Asarnow et al., 2015; McCauley et al., 2018; Mehlum et al., 2014; Esposito-Smythers et al., 2011; for reviews, see Glenn et al., 2018; Iyenger et al., 2018; Ougrin et al., 2015).”
BackgroundInitial Psychometric Validation of the Non-Suicidal Self-Injury Scar Cognition Scale
Burke, T. A., Olino, T. M., & Alloy, L. B. (2017) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-017-9595-9 · Cited by 25
“Acceptance and Commitment Therapy and Dialectical Behavior Therapy both incorporate acceptance-based skills and have evidenced support in reducing self-harming behavior (Gratz and Gunderson 2006; Mehlum et al. 2014).”
Hauber, K., Boon, A. E., & Vermeiren, R. R. J. M. (2017) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-017-0197-9 · Cited by 29
“Two studies showed no advantages over treatment as usual [16, 17]; one study showed only a short term effect [18]; while another found a better outcome compared to treatment as usual [19].”
ResultSmith, L., Hunt, K., Parker, S., Camp, J., Stewart, C. S., & Morris, A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20146334 · Cited by 26
The potential use of CAMS for suicidal youth: building on epidemiology and clinical interventions
Jobes, D. A., Vergara, G. A., Lanzillo, E. C., & Ridge-Anderson, A. (2019) · Children s Health Care · doi:10.1080/02739615.2019.1630279 · Cited by 32
“Results from one RCT found that DBT-A reduced suicidal ideation in comparison to the control condition over the course of the treatment, yet this reduction was not maintained at the one-year follow-up (Mehlum et al., 2016, 2014).”
Jørgensen, M. S., Storebø, O. J., Poulsen, S., & Simonsen, E. H. (2020) · Family Process · doi:10.1111/famp.12593 · Cited by 23
Becker, K., Adam, H., In‐Albon, T., Kaess, M., Kapusta, N. D., Plener, P. L., & Leitliniengruppe, F. D. (2017) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a000516 · Cited by 24
Haruvi Catalan, L., Levis Frenk, M., Adini Spigelman, E., Engelberg, Y., Barzilay, S., Mufson, L., Apter, A., Benaroya Milshtein, N., Fennig, S., & Klomek, A. B. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.553422 · Cited by 23
An evaluation of the skills group component of DBT-A for parent/guardians: a mixed methods study
Flynn, D., Gillespie, C., Joyce, M., & Spillane, A. (2020) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2019.62 · Cited by 24
“DBT-A has a growing evidence base with positive outcomes reported in controlled trials for emotionally dysregulated adolescents who self-harm and/or have suicidal ideation (Mehlum et al. 2014; McCauley et al. 2018), and effectiveness studies in outpatient and community settings (Rathus & Miller, 2002; James et al.”
BackgroundSinger, J. B., O’Brien, K. H. M., & LeCloux, M. (2016) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-016-0453-5 · Cited by 22
Engaging families in the management of adolescent self-harm
Aggarwal, S., & Patton, G. (2018) · Evidence Based Mental Health · doi:10.1136/eb-2017-102791 · Cited by 22
O’Dwyer, N., Rickwood, D., Buckmaster, D., & Watsford, C. (2020) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-020-00138-2 · Cited by 22
“[31], in a randomized trial with adolescents, compared enhanced usual care with DBT, finding DBT was superior in reducing self-harm, severity of suicidal ideation and depression.”
BackgroundPerry, A., Waterman, M. G., Dale, V., Moore, K., & House, A. O. (2021) · EClinicalMedicine · doi:10.1016/j.eclinm.2020.100702 · Cited by 24
“Problem-solving therapy (PST) has been widely used in the community and improves outcomes of depression and allied constructs such as hopelessness [23,24].”
BackgroundEsposito, C., Affuso, G., Amodeo, A. L., Dragone, M., & Bacchini, D. (2021) · School Mental Health · doi:10.1007/s12310-021-09434-w · Cited by 25
Edwards, E. R., Hedy Kober, A., Rinne, G. R., Griffin, S. A., Axelrod, S. R., & Cooney, E. (2021) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12325 · Cited by 22
“…including depressed older adults (Lynch,Morse,Mendelson,&Robins, 2003), suicidal and self-injuring adolescents (McCauley et al., 2018; Mehlum et al., 2014; Rathus & Miller, 2002), eating disorders (Safer & Jo, 2010; Telch, Agras, & Linehan, 2001), and substance use disorders (Dimeff…”
BackgroundGasol, X., Haro, M. V. N., Fernández‐Felipe, I., García-Palacios, A., Suso‐Ribera, C., & Gasol-Colomina, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19010494 · Cited by 27
Duprey, E. B., Handley, E. D., Wyman, P. A., Ross, A. J., Cerulli, C., & Oshri, A. (2022) · Development and Psychopathology · doi:10.1017/s0954579422000414 · Cited by 26
Glazebrook, K., Townsend, E., & Sayal, K. S. (2015) · Archives of Suicide Research · doi:10.1080/13811118.2015.1004495 · Cited by 22
“A recent randomised controlled trial has indicated that Dialectical Behaviour Therapy (DBT), which in part aims to enhance skills to cope with intense emotions that may precede self-harm, is effective for adolescent self-harm behaviour (Mehlum et al., 2014).”
BackgroundRaudales, A. M., Short, N. A., & Schmidt, N. B. (2019) · Archives of Suicide Research · doi:10.1080/13811118.2019.1598526 · Cited by 25
Stoffers‐Winterling, J., Storebø, O. J., Simonsen, E. H., Jørgensen, M. S., Ribeiro, J. P., Kongerslev, M., & Lieb, K. (2022) · Psychology Research and Behavior Management · doi:10.2147/prbm.s342257 · Cited by 23
“An adapted version of DBT was found to have beneficial effects on BPD severity, suicidality, self-injury, and depression in adolescents with significant BPD symptoms in two RCTs.(36,37) A DBT adaptation is now also available for relatives of affected individuals (of all ages; DBT Family Connections, DBT-FC).”
BackgroundInfluentialAdapted Dialectical Behavior Therapy for Adolescents with Self-injurious Thoughts and Behaviors
Courtney, D., & Flament, M. F. (2015) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000324 · Cited by 21
“More recently, Mehlum et al. (2014) published a randomized controlled trial of DBT-A including adolescents with recent and repeated self-harm behavior and features of borderline personality disorder (n = 77) (Mehlum et al., 2014).”
BackgroundInfluentialZimmermann, R., Krause, M., Weise, S., Schenk, N., Fürer, L., Schrobildgen, C., Schlüter-Müller, S., Valdés, N., Koenig, J., Kaess, M., et al. (2018) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2018.10.007 · Cited by 22
“The outcome part of the study addresses the following questions: In adolescents suffering from BPP, does an intensive outpatient treatment with the new approach AIT lead to an outcome that is comparable (noninferior) to an intensive treatment with DBT-A? The non-inferiority design was chosen since DBT-A already has be…”
ResultLyng, J., Swales, M. A., Hastings, R. P., Millar, T., & Duffy, D. J. (2019) · Early Intervention in Psychiatry · doi:10.1111/eip.12808 · Cited by 20
Anestis, J. C., Charles, N. E., Lee-Rowland, L. M., Barry, C. T., & Gratz, K. L. (2020) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2019.07.001 · Cited by 17
Han, J., McGillivray, L., Wong, Q. J., Werner-Seidler, A., Wong, I., Calear, A., Christensen, H., & Torok, M. (2020) · JMIR Research Protocols · doi:10.2196/23655 · Cited by 17
“DBT was initially developed for persons diagnosed with borderline personality disorder [16], and there is increasing evidence to suggest that DBT is also effective in reducing suicidal thoughts, nonsuicidal self-injurious behavior, and suicide attempts in both adults [17] and adolescents [18,19].”
Backgroundvon Auer, A. K., Kleindienst, N., Ludewig, S., Soyka, O., Bohus, M., & Ludäscher, P. (2015) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a000371 · Cited by 22
Shaping the Design of Smartphone-Based Interventions for Self-Harm
Honary, M., Bell, B. T., Clinch, S., Vega, J., Kroll, L., Sefi, A., & McNaney, R. (2020) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3313831.3376370 · Cited by 21
“The app is based on the principles of DBT, a widely-used and empirically-tested therapeutic technique for self-harm management [39].”
MethodPardo, E. S., Rivas, A. F., Barnier, P. O., Miravent, M. B., Kerexeta‐Lizeaga, I., Cosgaya, A. D., Alcántara, A. C., Vivanco, E., Aguirre, B. A., & Torres, M. Á. G. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02649-2 · Cited by 21
Shenk, C. E., Griffin, A. M., & O’Donnell, K. J. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000905 · Cited by 22
“…and adaptations of these interventions for those with a trauma or child maltreatment history (Bohus et al., 2013; Geddes, Dziurawiec, & Lee, 2013), and in significantly reducing depressive symptoms among adolescents (Bilek & Ehrenreich-May, 2012; Mehlum et al., 2014), have a growing empirical base.”
BackgroundMasi, G., Pisano, S., Sesso, G., Mazzullo, C., Berloffa, S., Fantozzi, P., Narzisi, A., Placini, F., Valente, E., Viglione, V., et al. (2023) · Brain Sciences · doi:10.3390/brainsci13050755 · Cited by 21
“Interestingly, randomized controlled trials have supported the role of Dialectical Behavior Therapy (DBT) in adolescents with both NSSI and suicidal behavior [38].”
BackgroundBrown, A. C., Dhingra, K., Brown, T. D., Danquah, A., & Taylor, P. J. (2022) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12397 · Cited by 20
The Combined Treatment of PTSD with Borderline Personality Disorder
Harned, M. S. (2014) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-014-0025-2 · Cited by 19
Waraan, L., Rognli, E. W., Czajkowski, N. O., Mehlum, L., & Aalberg, M. (2021) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104520980776 · Cited by 19
“DBT (Linehan, 1993) was developed for highly suicidal emotionally dysregulated adults with borderline personality disorder (BPD), and adapted for adolescents, with good results (McCauley et al., 2018; Mehlum et al., 2014, 2016, 2019).”
BackgroundSelf-citationGermán, M., Smith, H., Rivera-Morales, C., González, G., Haliczer, L. A., Haaz, C., & Miller, A. L. (2015) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2015.69.2.179 · Cited by 19
Self-citationMoloney, F., Amini, J., Sinyor, M., Schaffer, A., Lanctôt, K. L., & Mitchell, R. H. B. (2025) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.14114 · Cited by 24
Flynn, D., Kells, M., Joyce, M., Suarez, C., & Gillespie, C. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1627-9 · Cited by 17
Edinger, A., Fischer-Waldschmidt, G., Parzer, P., Brunner, R. M., Resch, F., & Kaess, M. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.505661 · Cited by 18
Miller, A. L. (2015) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2015.69.2.91 · Cited by 18
Self-citationFlaherty, H. B. (2017) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-017-0505-5 · Cited by 19
“1 3 with emotion dysregulation, and their families (Mehlum et al. 2014).”
BackgroundReview of the clinical approach to the treatment of disruptive mood dysregulation disorder
Hendrickson, B. P., Girma, M., & Miller, L. (2019) · International Review of Psychiatry · doi:10.1080/09540261.2019.1688260 · Cited by 19
“Dialectical Behaviour Therapy for Adolescents is an empirically validated intervention designed to treat emotion dysregulation, suicidal thoughts and behaviours and non-suicidal self-injury (Melhum et al., 2014; Rathus & Miller, 2002).”
BackgroundPediatric mental health emergency visits during the COVID-19 pandemic
Hernández‐Calle, D., Andreo-Jover, J., Ramos, J. C., Martínez, D. G., Valor, L. V., Juárez, G., Alcamí, M., Villalobos, A. O., Iglesias, N., Bravo‐Ortiz, M. F., et al. (2022) · Scandinavian Journal of Child and Adolescent Psychiatry and Psychology · doi:10.2478/sjcapp-2022-0005 · Cited by 18
“Most evidence-based suicide prevention interventions for youth, such as the Safety Planning Intervention or dialectical-behavioral therapy (27,28), can be performed using telepsychiatry resources or on the telephone.”
BackgroundPractical implications of ICD-11 personality disorder classifications
Pan, B., & Wang, W. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05640-3 · Cited by 19
“Notably, the structured psychological interventions have consistently demonstrated a significant improvement among young people with borderline pattern specifiers, including the reduced self-harm and suicidal ideation [103, 104].”
BackgroundGroup Therapy for Emotional Dysregulation: Treatment for Adolescents and Their Parents
Gill, D. J., Warburton, W., Simes, D., & Sweller, N. (2017) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-017-0510-8 · Cited by 18
Personality disorders in adolescence: Label or opportunity?
Hutsebaut, J., Feenstra, D. J., & Luyten, P. (2013) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12052 · Cited by 23
Ramleth, R., Grøholt, B., Diep, L. M., Walby, F. A., & Mehlum, L. I. (2017) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-017-0073-5 · Cited by 24
Self-citationThe Treatment of Suicide and Self-Injurious Behaviors in Children and Adolescents
Gilbert, A. C., DeYoung, L. L. A., Barthelemy, C. M., Jenkins, G. A., MacPherson, H. A., Kim, K. L., Kudinova, A. Y., Radoeva, P. D., & Dickstein, D. P. (2020) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-020-00201-3 · Cited by 22
Waitz, C., Tebbett-Mock, A. A., D’Angelo, E. J., & Reynolds, E. K. (2021) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2021.1970052 · Cited by 17
“RCTs indicate significant advantage of DBT over comparison treatments for reducing self-harm, suicidal ideation, and attempts, and depressive symptoms (McCauley et al., 2018; Mehlum et al., 2016, 2014).”
BackgroundReichl, C., Rockstroh, F., Lerch, S., Fischer-Waldschmidt, G., Koenig, J., & Kaess, M. (2023) · Psychological Medicine · doi:10.1017/s0033291723001447 · Cited by 12
“…BPD. Adolescents receive treatment according to a brief cognitive-behavioral psychotherapy manual (CDP), and alternatively or additionally DBT-A, both of which have been shown to be efficient and effective in the reduction of mean NSSI frequency (Kaess et al., 2020; Mehlum et al., 2019, 2014).”
MethodLois, B. H., & Miller, A. L. (2017) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2017.01.006 · Cited by 17
Self-citationManaging risk and self-harm: Keeping young people safe
Westers, N. J., & Plener, P. L. (2020) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104519895064 · Cited by 16
“For example, a reduction of self-harm has been shown in randomized controlled trials (RCTs) of Mentalization-Based Treatment for Adolescents (MBT-A; Rossouw & Fonagy, 2012), CBT (Taylor et al., 2011), and Dialectical Behavior Therapy for Adolescents (DBT-A; Mehlum et al., 2014, 2019).”
MethodKaess, M., & Cavelti, M. (2025) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.70011 · Cited by 23
Adrian, M. C., Blossom, J. B., Chu, P. V., Jobes, D. A., & McCauley, E. (2021) · Practice Innovations · doi:10.1037/pri0000156 · Cited by 16
Brager-Larsen, A. T., Zeiner, P., & Mehlum, L. I. (2023) · Archives of Suicide Research · doi:10.1080/13811118.2023.2192767 · Cited by 15
“56, based on the results of a recent Norwegian study with a similar clinical sample of adolescents with recurrent self-harm behavior (Mehlum et al., 2014).”
BackgroundSelf-citation
Metadata
- Authors
- Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., Larsson, B. S., Stanley, B. H., Miller, A. L., Sund, A. M., & Grøholt, B.
- Affiliations
- University of Oslo (NO)
- Norwegian University of Science and Technology (NO)
- Albert Einstein College of Medicine (US)
- Corresponding author
- Mehlum, Lars
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2014-10
- Volume
- 53
- Issue
- 10
- Pages
- 1082-1091
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W1991550933
- Cited by
- 616
- References
- 92
- Citations by year
- 2026: 41 · 2025: 45 · 2024: 56 · 2023: 57 · 2022: 48 · 2021: 100 · 2020: 66 · 2019: 44 · 2018: 44 · 2017: 40 · 2016: 24 · 2015: 39 · 2014: 9
- FWCI
- 44.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Funders
- Universitetet i Oslo
- Medisinske fakultet, Universitetet i Oslo
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- dialectical behavior therapy for adolescents, self-harm, suicidal ideation, adolescents, depression, hopelessness, borderline personality disorder, treatment retention, emergency department visits, hospitalization, outpatient psychiatric care
- MeSH terms
- Adolescent, Behavior Therapy, Child, Female, Humans, Male, Suicide, Attempted, Single-Blind Method, Self-Injurious Behavior, Treatment Outcome
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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