Evidence map›Paper›PMID 29499504›Full record

Trial reportJournal of affective disorders2018

A randomized controlled trial of an Internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers.

Chelsey R Wilks, Anita Lungu, Sin Yee Ang, Brandon Matsumiya, Qingqing Yin, Marsha M Linehan

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05108194 (Feasibility of a Personalized Short Message Service Intervention for Insomnia), which is not on this map. Cited by 49 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 15 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.

NCT05108194 early_phase1unknown statusnot on this mapstarted 2021, after this paper: background citation

Feasibility of a Personalized Short Message Service Intervention for Insomnia

TypeinterventionalSponsorUniversity of Missouri, St. LouisRan2021 to 2022Enrolled50ConditionsInsomnia, Sleep DisorderArmsSMS Personalized Sleep Intervention
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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  9. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
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  12. Psychological therapies for people with borderline personality disorder.The Cochrane database of systematic reviews · 2020
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  20. User Experience Affects Dropout from Internet-Delivered Dialectical Behavior Therapy.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2020
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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

6 authors.

Chelsey R WilksUniversity of Washington, 3917 University Way, Seattle, WA 98195, USA. Electronic address: wilksc@uw.edu.
Anita LunguLyra Health, 205 Park Rd, Burlingame, CA 98010, USA. Electronic address: anita@lyrahealth.com.
Sin Yee AngUniversity of Washington, 3917 University Way, Seattle, WA 98195, USA. Electronic address: sinyee@u.washington.edu.
Brandon MatsumiyaUniversity of Central Florida, 4111 Pictor Ln, Orlando, FL 32816, USA. Electronic address: bmatsu@Knights.ucf.edu.
Qingqing YinUniversity of Washington, 3917 University Way, Seattle, WA 98195, USA. Electronic address: qyin1209@u.washington.edu.
Marsha M LinehanUniversity of Washington, 3917 University Way, Seattle, WA 98195, USA. Electronic address: linehan@uw.edu.

Funding

Computerized DBT Skills Training for Suicidal and Heavy Episodic DrinkersF31AA024658 · NIAAA · UNIVERSITY OF WASHINGTON · PI WILKS, CHELSEY ROCHELLE · 2015 to 2017
$76k
NIAAA NIH HHS F31 AA024658
6 · The paper itself

Abstract

backgroundGiven that alcohol misuse elevates risk of suicide death among ideators, the paucity of treatment outcome research for individuals presenting with both suicide ideation and problem drinking is particularly troubling. Dialectical behavior therapy (DBT) skills training, which effectively targets behaviors associated with emotion dysregulation including addictive and suicidal behaviors, provides a fitting model amenable to computerization. As stigma and scarcity stand as potential barriers to treatment, online dissemination platforms provide means for efficient treatment delivery that can augment the utility of suitable interventions. This pilot RCT sought to evaluate the feasibility, acceptability, and preliminary efficacy of an Internet-delivered DBT skills training intervention (iDBT-ST) for suicidal individuals who engage in heavy episodic drinking

methodsParticipants (N = 59) were randomized to receive iDBT-ST immediately or after an 8-week waiting period. Clinical outcomes were suicide ideation, alcohol use, and emotion dysregulation.

resultsParticipants on average saw a significant reduction in all outcomes over the four-month study period. Compared to waitlist controls, individuals who received iDBT-ST immediately showed faster reductions in alcohol consumption.

conclusionsPreliminary results suggest that iDBT-ST may be a viable resource for the high-risk and underserved group represented in this study, and pathways for future development are suggested. LIMITATIONS: There was difficulty retaining and engaging participants due to technological barriers.

Indexed as

InternetSuicide PreventionAdultAlcoholic IntoxicationBehavior TherapyFemaleHumansMaleSuicidal IdeationSurveys and QuestionnairesTreatment OutcomeAlcoholComputerized psychotherapyDialectical behavior therapyInternetRandomized controlled trialSuicide

Identifiers

PMID29499504
PMCPMC5859943

What OpenQuestion holds

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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.