
@article{ref1,
title="Dialectical Behaviour Therapy for adolescents (DBT-A)--a pilot study on the therapy of suicidal, parasuicidal, and self-injurious behaviour in female patients with a borderline disorder",
journal="Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie",
year="2006",
author="Fleischhaker, Christian and Munz, M. and Böhme, R. and Sixt, Barbara and Schulz, E.",
volume="34",
number="1",
pages="15-25",
abstract="OBJECTIVES: In Germany suicide ranks as the second leading cause of death in adolescents. Risk factors for suicide are impulsive and self-injurious behaviour, depression, and conduct disorder. The main hypothesis of our study is that Dialectical Behavior Therapy (DBT) for adolescents is an effective method of treatment for these patients. METHODS: DBT was developed by Marsha Linehan specifically for the outpatient treatment of chronically parasuicidal female patients with a diagnosis of borderline personality disorder. Miller & Rathus modified DBT for use with adolescents (DBT-A). and our group adapted the DBT-A for use in an outpatient treatment setting in Germany. In a pre-post comparison, the efficacy of treatment was measured using standardized instruments (SCL-90-R, CBCL, YSR, ILK, CGI, etc.). RESULTS: In a pilot study of 12 adolescents, we found effect sizes between 1.1 and 2.9. During treatment, self-injurious behaviour declined significantly. Prior to entering therapy, 8 of the 12 patients had attempted suicide at least once. During treatment according to DBT-A there were no suicide attempts. CONCLUSIONS: These results are so promising that we are now planning a randomized, multi-centre study.<p /> <p>Language: de</p>",
language="de",
issn="1422-4917",
doi="",
url="http://dx.doi.org/"
}