TY  - JOUR
PY  - 2020//
TI  - Adapted dialectical behavior therapy for adolescents with a high risk of suicide in a community clinic: a pragmatic randomized controlled trial
JO  - Suicide and life-threatening behavior
A1  - Santamarina-Perez, Pilar
A1  - Méndez, Iria
A1  - Singh, Manpreet K.
A1  - Berk, Michele
A1  - Picado, Marisol
A1  - Font, Elena
A1  - Moreno, Elena
A1  - Martinez, Esteve
A1  - Morer, Astrid
A1  - Borràs, Roger
A1  - Cosi, Alexandra
A1  - Romero, Soledad
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: This study is a pragmatic randomized controlled trial, which compares the effectiveness of an adapted form of Dialectical Behavior Therapy for Adolescents (DBT-A) and treatment as usual plus group sessions (TAU + GS) to reduce suicidal risk for adolescents in a community health mental clinic. <br><br>METHOD: Thirty-five adolescents from a community outpatient clinic, with repetitive NSSI alone or with SA over the last 12 months and with current high suicide risk as assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS), were enrolled. Participants were randomly assigned to undergo either DBT-A (n = 18) or TAU + GT (n = 17) treatments over a 16-week period. Primary outcomes were the difference between NSSI and SA recorded during the first 4 weeks and the final 4 weeks of treatment. Secondary outcomes included changes in Children's Global Assessment Scale (C-GAS), Suicidal Ideation Questionnaire (SIQ-JR), and Beck Depression Inventory-II (BDI-II). <br><br>RESULTS: Dialectical Behavior Therapy for Adolescents was more effective than TAU + GS at reducing NSSI, use of antipsychotics, and improving C-GAS. No SAs were reported in the two groups at the end of the treatment. Both treatments were equally effective in decreasing SIQ-JR and BDI-II scores. <br><br>CONCLUSIONS: These findings support the feasibility and effectiveness of DBT-A for adolescents at high risk of suicide in community settings.<br><br>© 2020 The American Association of Suicidology.<p />  <p>Language: en</p>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12612
ID  - ref1
ER  -