Cited by 616Personality Disorders and PsychopathologySuicide and Self-Harm StudiesBipolar Disorder and Treatment

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 access
Mehlum, Lars, Tørmoen, Anita J., Ramberg, Maria, Haga, Egil, Diep, Lien M., Laberg, Stine, Larsson, Bo S., Stanley, Barbara H., Miller, Alec L., Sund, Anne M., Grøholt, Berit·2014·Journal of the American Academy of Child & Adolescent Psychiatry

Abstract

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.…

Overview

Integrity signals

Registry

Crossref · 10.1016/j.jaac.2014.07.003

Cites

90 of 90 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

9 of 25 cited sources checked · 5 supported · 0 flagged · accuracy not yet measured

Show all 55 claims

  • Probably not a substantial claim. 30
  • It may state two separate claims as one. 27
50 of 50
  • 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.”
4 of 4

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  1. Pearson, 2001

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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
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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