Brief dialectical behavior therapy (DBT-B) for suicidal behavior and non-suicidal self injury
Abstract
The purpose of this study is to evaluate the effectiveness of a shorter course of Dialectical Behavior Therapy (DBT) in enhancing treatment retention and reducing: urges to engage in non-suicidal self injury (NSSI), NSSI, suicide ideation, and subjective distress in borderline personality disorder (BPD). Twenty patients with BPD received a six-month course of Dialectical Behavior Therapy (DBT-B). DBT-B was delivered in the standard manner except for the shortened duration from one-year minimum to six months. All variables were measured at baseline, and at six months. Data were analyzed using paired t-tests. Treatment retention rate was 95%. Significant reductions were found in NSSI urges, NSSI, suicide ideation, subjective distress, depression, and hopelessness between baseline and six months. These results support the use of DBT-B in a six-month format when NSSI and suicidal behavior and ideation are the targeted behaviors. Target behaviors were reduced significantly and retention was extremely high in comparison to other interventions for this population. A large scale randomized controlled trial investigating its efficacy is warranted to determine if the results can be replicated and if improvement can be sustained.
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Some findings indicate that brief DBT formats (e.g. 6-month, 16-week) are effective in treating ED.
“The optimal duration of DBT has been understudied, but some findings indicate that brief formats (e.g. 6-month, 16-week) are effective in treating ED (e.g. Koons et al., 2001; Stanley et al., 2007; Pasieczny & Connor, 2011; Neacsiu et al., 2014; Delparte et al., 2019).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Stanley et al., 2007
Post-treatment outcomes are consistent with previous studies showing that brief DBT formats result in significant decrease in depression, hopelessness, and quality of life at end of treatment.
“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 Stanley et al., 2007
Existing interventions for suicidal patients (e.g., cognitive behavioral therapy and dialectical behavior therapy) typically target negative emotions and cognitions.
“Existing interventions for suicidal patients (e.g., cognitive behavioral therapy [5,6] and dialectical behavior therapy [7,8]) typically target negative emotions and cognitions.”
From Feasibility and utility of positive psychology exercises for suicidal inpatients (2014) · cites this paper as [7]
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“A modified version of DBT delivered in a shortened time frame of 6 months was found to be effective for reducing suicidal behavior, nonsuicidal self-injury, depression, suicidal ideations, and distress (Stanley, Brodsky, Nelson, & Dulit, 2007 ).”
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“…Inventory (BDI; Andover et al., 2015; Fischer & Peterson, 2015; Fischer et al., 2013; Kaess et al., 2019; Krüger et al., 2014; Stanley et al., 2007; Swart & Apsche, 2014), a Depression Rating Scale (Mehlum et al., 2014) ou o Depression Inventory for Children 244 Contextos Clínicos, v. 14, n. 1,…”
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- Authors
- Stanley, B., Brodsky, B., Nelson, J. D., & Dulit, R.
- Affiliations
- New York State Psychiatric Institute (US)
- Cornell University (US)
- ORCID
- Nelson, Joshua D.
- Venue
- Archives of Suicide Research
- Publisher
- Informa UK Limited
- Published
- 2007-08-31
- Volume
- 11
- Issue
- 4
- Pages
- 337-341
- ISSN
- 1381-1118 (ISSN-L)
- 1543-6136
- OpenAlex
- W2046331648
- Semantic Scholar
- 9a4da58f45a6ec42e38cb75374e0d5c2f618bcad
- Cited by
- 157
- References
- 16
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 41 · 2020: 5 · 2019: 7 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 8 · 2014: 12 · 2013: 13 · 2012: 12
- FWCI
- 4.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Suicide Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh062665-05)
- National Institute on Alcohol Abuse and Alcoholism (P20AA015630)
- National Institute of Mental Health (MH061017, MH062665, R01MH061017)
- 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, non-suicidal self-injury, suicidal behavior, suicidal ideation, borderline personality disorder, treatment retention, treatment time reduction, depression, hopelessness, subjective distress
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Behavior Therapy, Borderline Personality Disorder, Female, Humans, Male, Middle Aged, Pilot Projects, Psychotherapy, Brief, Suicide, Self-Injurious Behavior
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