Evidence map›Paper›PMID 33875025›Full record

SynthesisPsychological medicine2021

Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis.

Oswald D Kothgassner, Andreas Goreis, Kealagh Robinson, Mercedes M Huscsava, Christian Schmahl, Paul L Plener

3 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Psychological medicine, 2021. 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 98 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 10 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.

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
NCT05988489 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Dynamic Deconstructive Psychotherapy Versus Brief Intervention and Contact for Suicidal Adolescents and Young Adults

TypeinterventionalSponsorState University of New York - Upstate Medical UniversityRan2023 to 2027Enrolled106ConditionsSuicidal IdeationArmsDynamic Deconstructive Psychotherapy (DDP), Brief Intervention and Contact (BIC)
NCT07450105 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Intensive Dialectical Behavior Therapy for Self-Harm and Suicidal Behavior in Youth: A Pilot Study

TypeinterventionalSponsorHaukeland University HospitalRan2026 to 2027Enrolled12ConditionsSelf-Harm, Deliberate, Suicidal Behavior, Borderline Personality Disorder (BPD)ArmsIntensive Dialectical Behavior Therapy
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Review
  19. Article
  20. Review

38 more citing papers are in PubMed but not listed here.

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.

Oswald D KothgassnerDepartment of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-3243-0238
Andreas GoreisDepartment of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria.ORCID 0000-0001-8994-964X
Kealagh RobinsonSchool of Psychology, Te Herenga Waka - Victoria University of Wellington, Wellington, New Zealand.ORCID 0000-0002-9367-7445
Mercedes M HuscsavaDepartment of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-0089-5505
Christian SchmahlDepartment of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.ORCID 0000-0003-0141-0821
Paul L PlenerDepartment of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-4333-1494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the widespread nature and clinical consequences of self-harm and suicidal ideation among adolescents, establishing the efficacy of developmentally appropriate treatments that reduce both self-harm and suicidal ideation in the context of broader adolescent psychopathology is critical.

methodsWe conducted a systematic review and meta-analysis of the Dialectical Behaviour Therapy for Adolescents (DBT-A) literature on treating self-injury in adolescents (12-19 years). We searched for eligible trials and treatment evaluations published prior to July 2020 in MEDLINE/PubMed, Scopus, Google Scholar, EMBASE, and the Cochrane Library databases for clinical trials. Twenty-one studies were identified [five randomized-controlled trials (RCTs), three controlled clinical trials (CCTs), and 13 pre-post evaluations]. We extracted data for predefined primary (self-harm, suicidal ideation) and secondary outcomes (borderline personality symptoms; BPD) and calculated treatment effects for RCTs/CCTs and pre-post evaluations. This meta-analysis was pre-registered with OSF: osf.io/v83e7.

resultsOverall, the studies comprised 1673 adolescents. Compared to control groups, DBT-A showed small to moderate effects for reducing self-harm (g = -0.44; 95% CI -0.81 to -0.07) and suicidal ideation (g = -0.31, 95% CI -0.52 to -0.09). Pre-post evaluations suggested large effects for all outcomes (self-harm: g = -0.98, 95% CI -1.15 to -0.81; suicidal ideation: g = -1.16, 95% CI -1.51 to -0.80; BPD symptoms: g = -0.97, 95% CI -1.31 to -0.63).

conclusionsDBT-A appears to be a valuable treatment in reducing both adolescent self-harm and suicidal ideation. However, evidence that DBT-A reduces BPD symptoms was only found in pre-post evaluations.

Indexed as

Suicidal IdeationAdolescentBorderline Personality DisorderDialectical Behavior TherapyFemaleHumansMaleSelf-Injurious BehaviorYoung AdultAdolescenceborderline personality disorderDBT-Aself-harmself-injurysuicidal ideation

Identifiers

PMID33875025
PMCPMC8188531

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.