Trial reportFrontiers in public health2026
A study on the effects of combined DBT and STEPPS interventions for adolescents with non-suicidal self-injury: a randomized controlled trial.
Trial report in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
10 authors.
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Abstract
Objective: To evaluate whether an integrated Dialectical Behavior Therapy and Systems Training for Emotional Predictability and Problem Solving (DBT + STEPPS) programme is more effective than DBT alone or conventional treatment in reducing non-suicidal self-injury (NSSI) and improving emotion regulation, anxiety, and depressive symptoms among adolescents with depression and NSSI. Methods: This study recruited 192 adolescent patients with non-suicidal self-injury between March 2024 and February 2025, and they were randomly divided into the Control Group (conventional intervention), Intervention Group A (DBT intervention), and Intervention Group B (DBT combined with STEPPS intervention). Patients' self-harm behaviors, emotional regulation strategy capabilities, and severity of illness were assessed both prior to intervention and within 48 h post-intervention. Data analysis employed one-way analysis of variance (ANOVA), Kruskal-Wallis H test, Results: Intervention Group B exhibited lower NSSI behavior scores than both Intervention Group A and the control group, while Intervention Group A scored lower than the control group ( Conclusion: DBT combined with STEPPS effectively reduces NSSI behaviors, improves emotion regulation, and alleviates anxiety and depression in adolescent non-suicidal self-injurious patients. And the effect of the combined intervention is better than that of the single intervention. Clinical trial registration: This study was registered with the Chinese Clinical Trial Registry (https://www.chictr.org.cn/; Registration number: ChiCTR2100043855) on 4 March 2021. The first subject was recruited on February 13, 2025.
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