Evidence map›Paper›PMID 29282024›Full record

Trial reportBMC psychiatry2017

Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study.

Johan Bjureberg, Hanna Sahlin, Clara Hellner, Erik Hedman-Lagerlöf, Kim L Gratz, Jonas Bjärehed, Jussi Jokinen, Matthew T Tull, Brjánn Ljótsson

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02326012 (Emotion Regulation Individual Therapy for Adolescents With NSSI - An Open Pilot Study), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02326012 nacompletednot on this map

Emotion Regulation Individual Therapy for Adolescents With NSSI - An Open Pilot Study

TypeinterventionalSponsorKarolinska InstitutetRan2014 to 2016Enrolled17ConditionsNonsuicidal Self-InjuryArmsEmotion Regulation Individual Therapy for Adolescents
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Suicidal risk among adolescent psychiatric inpatients: the role of insomnia, depression, and social-personal factors.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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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

9 authors.

Johan BjurebergCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Norra Stationsgatan 69, SE-11364, Stockholm, Sweden. Johan.Bjureberg@ki.se.ORCID 0000-0003-2747-9990
Hanna SahlinCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Norra Stationsgatan 69, SE-11364, Stockholm, Sweden.
Clara HellnerCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Norra Stationsgatan 69, SE-11364, Stockholm, Sweden.
Erik Hedman-LagerlöfDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Kim L GratzDepartment of Psychology, University of Toledo, Toledo, OH, USA.
Jonas BjärehedDepartment of Psychology, Lund University, Lund, Sweden.
Jussi JokinenCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Norra Stationsgatan 69, SE-11364, Stockholm, Sweden.
Matthew T TullDepartment of Psychology, University of Toledo, Toledo, OH, USA.
Brjánn LjótssonCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Norra Stationsgatan 69, SE-11364, Stockholm, Sweden.

Funding

Markus och Amelia Wallenberg Foundation MAW 2014.0021Swedish Research Council 2014-1008
6 · The paper itself

Abstract

backgroundNonsuicidal self-injury (NSSI) is a serious health risk behavior that forms the basis of a tentative diagnosis in DSM-5, NSSI Disorder (NSSID). To date, established treatments specific to NSSI or NSSID are scarce. As a first step in evaluating the feasibility, acceptability, and utility of a novel treatment for adolescents with NSSID, we conducted an open trial of emotion regulation individual therapy for adolescents (ERITA): a 12-week, behavioral treatment aimed at directly targeting both NSSI and its proposed underlying mechanism of emotion regulation difficulties.

methodsSeventeen girls (aged 13-17; mean = 15.31) with NSSID were enrolled in a study adopting an uncontrolled open trial design with self-report and clinician-rated assessments of NSSI and other self-destructive behaviors, emotion regulation difficulties, borderline personality features, and global functioning administered at pre-treatment, post-treatment, and 6-month follow-up. Measures of NSSI and emotion regulation difficulties were also administered weekly during treatment.

resultsRatings of treatment credibility and expectancy and the treatment completion rate (88%) were satisfactory, and both therapeutic alliance and treatment attendance were strong. Intent-to-treat analyses revealed significant improvements associated with large effect sizes in past-month NSSI frequency, emotion regulation difficulties, self-destructive behaviors, and global functioning, as well as a medium effect size in past-month NSSI versatility, from pre- to post-treatment. Further, all of these improvements were either maintained or further improved upon at 6-month follow-up. Finally, change in emotion regulation difficulties mediated improvements in NSSI over the course of treatment.

conclusionsResults suggest the acceptability, feasibility, and utility of this treatment for adolescents with NSSID.

trial registrationClinicalTrials.gov (NCT02326012, December 22, 2014, retrospectively registered).

Indexed as

EmotionsAdolescentAdolescent BehaviorFeasibility StudiesFemaleHumansPsychotherapyRetrospective StudiesSelf-Injurious BehaviorSelf ReportEmotion regulationEmotion regulation individual therapyMediationNonsuicidal self-injury disorderSelf-harm

Identifiers

PMID29282024
PMCPMC5745918

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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.