RecruitingNot ApplicableNCT06315075

Dialectical Behavior Therapy for Adolescents With Self-harm and Suicidal Behavior- an Open Trial

Dialectical Behavior Therapy for Adolescents With Self-harm and Suicidal Behavior- an Open

Sponsor

Haukeland University Hospital

Enrollment

140 participants

Start Date

Jan 15, 2024

Study Type

INTERVENTIONAL

Conditions

Suicidal Ideation Suicide and Self-harm Self-harm

Summary

The goal of this pre-post-follow-up study is to examine how well the treatment Dialectical behavior therapy for adolescents (DBT-A) with a duration of 20 weeks for adolescents with self-harm and suicidal behavior works in routine clinical practice. The main questions it aims to answer are: * to investigate how well DBT-A works after treatment and at 3-month follow-up, measured by episodes of self-harm, suicide attempts, depressive symptoms and quality of life, drop-out from treatment and number of possible participants who decline DBT-A. * to investigate how well DBT-A works at 12 months follow-up * to investigate whether pre-treatment factors can predict who will benefit from treatment

Eligibility

Min Age: 13 YearsMax Age: 18 Years

Inclusion Criteria4

Age 13-18 years
Ongoing or a history of self-harm the last six months; current suicidal behavior (suicidal thoughts or at least one suicide attempt within the previous six months); at least three criteria of Diagnostic and Statistical Manual -5 (DSM-5) Borderline personality disorder (BPD), or the self-destruction criterion of DSM-5 BPD in addition to minimum two subthreshold criteria as assessed by the Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD) (First et al., 2016)
Fluency in Norwegian
One parent/trusted adult that can participate together with the adolescent.

Exclusion Criteria6

Intellectual disability
Significant learning or language impairments
Autism spectrum disorder
Anorexia Nervosa
Any psychotic disorder
Substance abuse disorder. These patients will be offered treatment as usual at their local outpatient clinic.

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Interventions

BEHAVIORALDialectical behavior therapy for adolescents (DBT-A)

A 20-week DBT-A with a weekly individual session (45 minutes), a weekly session of multifamily skills training groups with a caregiver (120 minutes), and telephone consultation with individual therapists outside therapy sessions as needed. The treatment consists of four components and is delivered according to the manual except for the phone coaching that PBU offers workdays until 8 pm.