The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
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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In the citing paper
“The optimal duration of DBT has been understudied, but some findings indicate that brief formats (e.g. 6-month, 16-week) are effective in treating ED (e.g. Koons et al., 2001; Stanley et al., 2007; Pasieczny & Connor, 2011; Neacsiu et al., 2014; Delparte et al., 2019).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Stanley et al., 2007
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 Stanley et al., 2007
In the citing paper
“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]
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
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Cognitive-behavioral treatment of chronically parasuicidal borderline patients
Linehan, M. M. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810360024003 · Cited by 2,203 · cited 1×
“The rationale for the additional months of treatment was described to be for ‘‘consolidation of gains’’ (Linehan et al., 1991).”
BackgroundLinehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.7.757 · Cited by 2,025
Measurement of Deliberate Self-Harm: Preliminary Data on the Deliberate Self-Harm Inventory
Gratz, K. L. (2001) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/a:1012779403943 · Cited by 1,166 · cited 2×
“…as 75% of individuals with borderline personality disorder engage in some form of NSSI, and=or suicidal behavior (self destructive behavior with an intent to die) (Gunderson, 2001; Linehan, 1993), a rate much higher than that of groups in the general population (Gratz, 2001; Ross and Heath, 2002).”
BackgroundNaturalistic Follow-up of a Behavioral Treatment for Chronically Parasuicidal Borderline Patients
Linehan, M. M. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240055007 · Cited by 910
Psychological therapies for people with borderline personality disorder.
Stoffers-Winterling, J. M., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005652.pub2 · Cited by 895
A Study of the Frequency of Self-Mutilation in a Community Sample of Adolescents
Ross, S., & Heath, N. L. (2002) · Journal of Youth and Adolescence · doi:10.1023/a:1014089117419 · Cited by 787
Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder
Koons, C. R., Robins, C. J., Lindsey Tweed, J., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., Bishop, G. K., Butterfield, M. I., & Bastian, L. A. (2001) · Behavior Therapy · doi:10.1016/s0005-7894(01)80009-5 · Cited by 700
Gratz, K. L., & Gunderson, J. G. (2006) · Behavior Therapy · doi:10.1016/j.beth.2005.03.002 · Cited by 618 · cited 2×
“2006 ; Gratz & Gunderson, 2006 ) recommend fewer sessions when the reduction of NSSI and suicidal behavior are the focus of treatment, such as the Davidson, Norrie, Tyrer et al.”
BackgroundMethod
Research works printed but not linked: 3
- Binks C. A., 2006, Cochrane Database Systematic Review, 25
- First M. B., 1996, Structured clinical interview for the DSM-IV axis I personality disorders
- Spitzer R. L., 1990, Structured clinical interview for the DSM-IIII-R/DSM-IV–patient edition
Cited by
Sorted by citations
Items 101–157 of 157
Positive Suicidology: Promoting Well-Being and Addressing Suicide
Arora, S., & Sharma, V. (2025) · Springer eBooks · doi:10.1007/978-981-96-1403-5_28 · Cited by 2
Paris, J. (2014) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000041 · Cited by 3
Brief Therapeutic Approaches for Personality Disorders
Dixon–Gordon, K. L., Conkey, L. C., & Woods, S. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108333931.083 · Cited by 2
Barnicot, K. (2013) · Cited by 2
Mindfulness-Based Therapies for Psychological Health Conditions: A Meta-Analysis
McCarney, R. (2010) · University of Hertfordshire Research Archive (University of Hertfordshire) · Cited by 2
Chapter 24. Personality Disorders in the Military Operational Environment
Malone, R. D., & Benedek, D. M. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg24 · Cited by 1
Chronic Traumatic Encephalopathy and Alienation Induced Suicide: A Christian Personalism Perspective
Schmidt, K. A., & West, C. (2015) · Journal of Sociology and Christianity · Cited by 1
Expanding the Scope of Treatment for Borderline Personality Disorder
Paris, J. (2013) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31827f64c8 · Cited by 1
“Similar efforts have been described to shorten DBT (Stanley et al., 2007).”
ResultDeveloping personalised integrated psychotherapy for patients with personality disorders
Links, P. S. (2014) · Evidence-Based Mental Health · doi:10.1136/eb-2014-101935 · Cited by 1
A pilot study of two brief forms of DBT skills training for emotion dysregulation in undergraduates
Steffel, L. M. (2014) · doi:10.7282/t3cr5rtv · Cited by 1
Hurtado-Santiago, S., Parra, J. G., Mayoral, F., & Bersabé, R. M. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03862-x · Cited by 1
Chapter 6. Prevalence, Sociodemographics, and Functional Impairment
Torgersen, S. O. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg06 · Cited by 1
Chapter 13. Dialectical Behavior Therapy
Stanley, B., Brodsky, B. S., & Gratch, I. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg13 · Cited by 2
Self-citationChapter 3. Articulating a Core Dimension of Personality Pathology
Morey, L. C., & Bender, D. S. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg03 · Cited by 1
Barnett, B., Nurse, C. N., Wakschal, E. S., & O’Hayer, C. V. (2025) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2025.02.003 · Cited by 2
Tuttle, M. P. (2011) · doi:10.82465/6539 · Cited by 1
Langlands, R. L. (2012) · doi:10.26686/wgtn.16998277.v1 · Cited by 2
Walker, K. L. (2014) · Digital Commons - East Tennessee State University (East Tennessee State University)
Bowe, E. (2012) · UTAS Research Repository · doi:10.25959/23206850
Suicide Risk Assessment and Intervention: Considerations for Rehabilitation Providers
Signoracci, G. M., Nazem, S., & Brenner, L. A. (2016) · Springer eBooks · doi:10.1007/978-3-319-34034-0_27
Paris, J. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-811421-6.00006-5
Kirkpatrick, R., Puffinbarger, W., & Ore, L. (2007)
Hurtado-Santiago, S., Parra, J. G., Mayoral, F., & Bersabé, R. M. (2021) · Research Square · doi:10.21203/rs.3.rs-967207/v1
Dialectical Behavioral Therapy
Sotsky, J., & Brodsky, B. S. (2023) · Springer eBooks · doi:10.1007/978-3-030-42825-9_153-1
Self-citationDialectical Behavioral Therapy
Sotsky, J., & Brodsky, B. S. (2024) · Springer eBooks · doi:10.1007/978-3-030-51366-5_153
Self-citationChapter 5. Manifestations, Assessment, Diagnosis, and Differential Diagnosis
Skodol, A. E. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg05
Chapter 4. The Alternative DSM-5 Model for Personality Disorders
Skodol, A. E., Bender, D. S., & Oldham, J. M. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg04
Chapter 22. Antisocial Personality Disorder and Other Antisocial Behavior
Black, D. W., & Blum, N. S. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg22
Chapter 12. Psychodynamic Psychotherapies
Yeomans, F. E., Clarkin, J. F., & Levy, K. N. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg12
Gutheil, T. G. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg19
Chapter 20. Assessing and Managing Suicide Risk
Links, P. S., Boursiquot, P., & Links, M. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg20
Choi-Kain, L. W., & Hersh, R. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg15
Chapter 14. Cognitive-Behavioral Therapy
Fowler, J. C., Orme, W. H., & Hart, J. M. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg14
Chapter 2. Theories of Personality and Personality Disorders
Westen, D., & Heim, A. K. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg02
Chapter 11. Therapeutic Alliance
Bender, D. S. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg11
Chapter 8. Genetics and Neurobiology
Fred-Torres, S., Pérez-Rodríguez, M. M., New, A. S., Rosell, D. R., & Koenigsberg, H. W. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg08
Chapter 23. Personality Disorders in the Medical Setting
Nash, S. S., Sotsky, J., Hicks, C., & Muskin, P. R. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg23
Chapter 17. Pharmacological Management
Nelson, K. J., & Tsheringla, S. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg17
Chapter 1. Personality Disorders: Recent History and New Directions
Oldham, J. M. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg01
Chapter 16. Group, Family, and Couples Therapies
Ogrodniczuk, J. S., Uliaszek, A. A., Lebow, J. L., & Kealy, D. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg16
Chapter 18. Collaborative Treatment
Winkeller, V., & Schlesinger, A. B. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg18
Chapter 25. Translational Research in Borderline Personality Disorder
Schmahl, C. G., & Herpertz, S. C. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg25
Chapter 21. Co-occurring Substance Use Disorders
Gorfinkel, L., Prins, S. J., Elliott, J. C., Meyers, J. L., & Hasin, D. S. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg21
Chapter 9. Longitudinal Course and Outcomes
Grilo, C. M., & Skodol, A. E. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379699.lg09
Borderline Personality and Other Personality Disorders
Paris, J. (2025) · Cambridge University Press eBooks · doi:10.1017/9781009086264.016
Ledden, S., Rains, L. S., Schlief, M., Barnett, P., Ching, B. C. F., Hallam, B., Günak, M. M., Steare, T., Parker, J., Labovitch, S., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20962345
Baek, J., Lee, J., Park, W., & Kim, D. (2026) · Cognitive Therapy and Research · doi:10.1007/s10608-026-10726-1 · Cited by 2
“Eleven studies used DBT-based interventions (Bedics et al., 2015 ; Berk et al., 2020; Fischer & Peterson, 2015 ; Gibson et al., 2014; Harned et al., 2014; Li et al., 2025 ; Navarro-Haro et al., 2018 ; Pasieczny & Connor, 2011; Sinnaeve et al., 2018 ; Stanley et al., 2007; Wood et al., 2024).”
Maxwell, C. A., Holland, K. E., Young, L., Chen, E. Y., Olino, T. M., & Kendall, P. C. (2026) · Journal of Clinical Psychology · doi:10.1002/jclp.70195
What Do We Mean by Self-Harm Ideation? A Scoping Review of More Than 30 Years of Evidence
Kavalidou, K., Troya, M. I., Mughal, F., Vaughan, A., Spafford, S. G., Callanan, A., Walsh, E. H., Joyce, M., Wiggin, D. A., & Greenley, S. (2026) · Archives of Suicide Research · doi:10.1080/13811118.2026.2718277
Was zu tun ist: Interventionen
Plener, P. L. (2014) · Springer eBooks · doi:10.1007/978-3-662-44338-5_6
Psychotherapies for mood disorders
McGrath, P. J., & Roose, S. P. (2013) · Cambridge University Press eBooks · doi:10.1017/cbo9781139175869.019
Metadata
- 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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