@article{ref1,
title="Implementation of dialectical behavior therapy with suicidal and self-harming adolescents in a community clinic",
journal="Archives of suicide research",
year="2018",
author="Berk, Michele S. and Starace, Nicole K. and Black, Vanessa P. and Avina, Claudia",
volume="ePub",
number="ePub",
pages="1-43",
abstract="OBJECTIVE: To examine the feasibility and effectiveness of Dialectical Behavior Therapy (DBT) with suicidal and self-harming adolescents treated in a community clinic. <br><br>METHOD: Twenty-four adolescents at high risk for suicide were enrolled in six months of comprehensive DBT, provided by therapists and trainees at a county-run outpatient mental health clinic serving disadvantaged, ethnic minority clients. <br><br>RESULTS: Results showed significant pre/post-treatment decreases in suicide attempts, non-suicidal self-injury behaviors (NSSI), and suicidal ideation. <br><br>RESULTS also showed significant decreases in other suicide risk factors, including: emotion dysregulation, depression, impulsivity, BPD symptoms, psychopathology, PTSD symptoms and substance use, as well as increases in family expressiveness and reasons for living. Treatment retention and satisfaction rates were high. <br><br>CONCLUSION: As many youth at risk for suicide will be treated in community settings, findings showing that receiving DBT in a community clinic resulted in significant improvements across a range of suicide risk factors are an important contribution to the adolescent suicide prevention literature.<p /> <p>Language: en</p>",
language="en",
issn="1381-1118",
doi="10.1080/13811118.2018.1509750",
url="http://dx.doi.org/10.1080/13811118.2018.1509750"
}