Evidence map›Paper›PMID 24885904›Full record

Trial reportTrials2014

The DiaS trial: dialectical behavior therapy versus collaborative assessment and management of suicidality on self-harm in patients with a recent suicide attempt and borderline personality disorder traits - study protocol for a randomized controlled trial.

Kate Andreasson, Jesper Krogh, Bent Rosenbaum, Christian Gluud, David A Jobes, Merete Nordentoft

3 registry-linked trialsOpen access · goldAbstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01512602 nacompletednot on this map

Efficacy of Dialectical Behavior Therapy in Patient With Self Harming Behavior and Traits Within the Spectrum of Borderline Personality Disorder.

TypeinterventionalSponsorMental Health Centre Copenhagen, Bispebjerg and Frederiksberg HospitalRan2012 to 2014Enrolled108ConditionsBorderline Personality Disorder, SuicideArmsDBT, CAMS
NCT03489382 nawithdrawnnot on this mapstarted 2020, after this paper: background citation

The BEACON Study: Protocol for Cluster RCT of a Service to Deliver Smartphone-Assisted Problem-Solving Therapy Compared to Usual Care in Men Who Present With Intentional Self-Harm to the ED in Ontario (Protocol A)

TypeinterventionalSponsorUniversity of OttawaRan2020 to 2020Enrolled0ConditionsIntentional Self-Harm, SuicideArmsSmartphone Assisted PST
NCT05583279 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Implementation of Dialectical Behavioral Therapy in Juvenile Justice to Reduce Self-Harm and Increase Quality of Life: A Pilot Test

TypeinterventionalSponsorThe Catholic University of AmericaRan2024 to 2026Enrolled0ConditionsNon-Suicidal Self Injury, Suicide, Self-harm, Emotion RegulationArmsDialetical Behavioral Therapy for Adolescents
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Trial
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Kate AndreassonMental Health Centre Copenhagen, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark. kate.trein.andreasson@regionh.dk.
Jesper Krogh
Bent Rosenbaum
Christian Gluud
David A Jobes
Merete Nordentoft
University of Copenhagen · DKCatholic University of America · USCopenhagen University Hospital · DKMental Health Services · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Denmark 8,000 to 10,000 people will attempt suicide each year. The Centre of Excellence in Suicide Prevention in the Capital Region of Denmark is treating patients with suicidal behavior, and a recent survey has shown that 30% of the patients are suffering from borderline personality disorder. The majority of patients (70% to 75%) with borderline personality disorder have a history of deliberate self-harm and 10% have a lifetime risk to die by suicide. The DiaS trial is comparing dialectical behavior therapy with collaborative assessment and management of suicidality-informed supportive psychotherapy, for the risk of repetition of deliberate self-harm in patients with a recent suicide attempt and personality traits within the spectrum of borderline personality disorder. Both treatments have previously shown effects in this group of patients on suicide ideation and self-harm compared with treatment as usual. METHODS/

designThe trial is designed as a single-center, two-armed, parallel-group observer-blinded randomized clinical superiority trial. We will recruit 160 participants with a recent suicide attempt and at least two traits of the borderline personality disorder from the Centre of Excellence in Suicide Prevention, Capital Region of Denmark. Randomization will be performed though a centralized and computer-generated approach that conceals the randomization sequence. The interventions that are offered are a modified version of a dialectical behavior therapy program lasting 16 weeks versus collaborative assessment and management of suicidality-informed supportive psychotherapy, where the duration treatment will vary in accordance with established methods up to 16 weeks. The primary outcome measure is the ratio of deliberate self-harming acts including suicide attempts measured at week 28. Other exploratory outcomes are included such as severity of symptoms, suicide intention and ideation, depression, hopelessness, self-esteem, impulsivity, anger, and duration of respective treatments.

trial registrationClinical Trial.gov: NCT01512602.

Indexed as

Suicidal IdeationSuicide PreventionAdolescentAdultAgedAngerBehavior TherapyBorderline Personality DisorderCooperative BehaviorDepressive DisorderFemaleFollow-Up StudiesHumansImpulsive BehaviorMaleMiddle Aged

Identifiers

PMID24885904
PMCPMC4055911
OpenAlexW2171490330

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.