Dialectical behavior therapy for nonsuicidal self-injury and depression among adolescents: preliminary meta-analytic evidence

2015 ◽  
Vol 21 (2) ◽  
pp. 81-89 ◽  
Author(s):  
Nathan E. Cook ◽  
Maggie Gorraiz
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Ecological Momentary Assessment and Intervention in Nonsuicidal Self-Injury: A Novel Approach to Treatment

2012 ◽  
Vol 26 (4) ◽  
pp. 299-317 ◽  
Author(s):  
Michael F. Armey
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Ecological Momentary Assessment ◽  
The Novel ◽  
Self Injury ◽  
Novel Approach ◽  
Regulation Function ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Nonsuicidal Self Injury

This study provides an introduction to ecological momentary assessment (EMA) methods and the potential use of ecological momentary intervention (EMI) for nonsuicidal self-injury (NSSI). The novel use of EMA and EMI are discussed within the context of the emotion regulation function of NSSI, the ability of these approaches to complement established treatments (i.e., cognitive behavior therapy & dialectical behavior therapy), and the specific areas in which an EMI treatment approach can augment traditional treatment. Based on established EMA findings in general and specific applications of EMA to the NSSI, a model EMI for NSSI is proposed.

Counseling Adolescents Who Engage in Nonsuicidal Self-Injury: A Dialectical Behavior Therapy Approach

2012 ◽  
Vol 34 (1) ◽  
pp. 56-71 ◽  
Author(s):  
Laura Choate
Keyword(s):  
Ethnic Groups ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Treatment Approach ◽  
Body Tissue ◽  
Therapy Approach ◽  
Self Injury ◽  
Counseling Adolescents ◽  
Therapy Treatment ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI), the direct and intentional destruction of one's own body tissue in the absence of any intent to die, is becoming an alarmingly common behavior in adolescents of both sexes and across all racial and ethnic groups. The purpose of this article is to (a) provide a model for conceptualizing the onset and maintenance of this behavior, and (b) describe how a dialectical behavior therapy treatment approach can be applied to working with adolescents who engage in NSSI.

A Review of Empirical Treatment Studies for Adolescent Nonsuicidal Self-Injury

2012 ◽  
Vol 26 (1) ◽  
pp. 3-18 ◽  
Author(s):  
Amy M. Brausch ◽  
Sarah K. Girresch
Keyword(s):  
Problem Solving ◽  
Dialectical Behavior Therapy ◽  
Empirical Studies ◽  
Behavioral Problem ◽  
Specific Treatment ◽  
Cognitive Behavioral ◽  
High Risk Population ◽  
Problem Solving Skills ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) is a concern in the adolescent population given its relationship to suicidal behavior, pointing to the serious need for adequate treatments for this high-risk population. This review examined empirical studies that evaluated treatments for NSSI among adolescents, and evaluated how the components of each treatment address common underlying and concurrent factors of NSSI. Among the available treatments, cognitive-behavioral therapy (CBT) interventions that integrate a problem-solving component and dialectical behavior therapy (DBT) have received the most empirical attention. However, studies examining the utility of cognitive-behavioral problem-solving interventions for adolescents, and randomized controlled trials examining the efficacy of DBT are lacking. Overall, CBT-based treatments improved underlying or maintaining factors of NSSI, such as depression, hopelessness, and problem-solving skills. DBT was effective for reducing hospitalizations. No existing studies evaluated treatment effectiveness for NSSI exclusively, and few studies used a purely adolescent sample. This review highlights the gap in knowledge regarding adolescent NSSI—there is no strong evidence for the efficacy of any specific treatment.

Nonsuicidal Self-Injury: Management on the Inpatient Psychiatric Unit

2019 ◽  
Vol 26 (1) ◽  
pp. 10-26
Author(s):  
Laurie M. Timberlake ◽  
Linda S. Beeber ◽  
Grace Hubbard
Keyword(s):  
Dialectical Behavior Therapy ◽  
Behavioral Therapy ◽  
Management Strategies ◽  
Models Of Care ◽  
Inpatient Setting ◽  
Self Injury ◽  
The Individual ◽  
Effective Models ◽  
The Impact ◽  
Nonsuicidal Self Injury

BACKGROUND. Between 4% to 70% of inpatients engage in self-harming behaviors and effective interventions are needed to address this population. AIM. This article reviews literature from 2007 to 2017 to address treatment and management strategies specific for the treatment of nonsuicidal self-injury in the inpatient psychiatric setting. METHODS. Cochrane, PsycINFO, PubMed, and CINAHL were searched for relevant articles with 34 studies reviewed for applicability to the question, and 9 parsed into a summary of Findings table. RESULTS. Therapeutic approaches that show promise include cognitive behavioral therapy, dialectical behavior therapy, and mentalization as well as medications that act on the serotonergic, dopaminergic, and opioid systems. Effective models of care aim toward enhancing therapeutic relationships with staff, providers, and most important, encouraging the internal shift toward recovery within the patient. CONCLUSIONS. More research with controlled designs in the inpatient setting is needed, however, regardless of which approach is used, the impact of the individual caregiver on the patient’s recovery is key.

Impact of dialectical behavior therapy on incidence of suicidal attempts and non-suicidal self injury among a sample of Egyptian borderline personality disorder patients

2016 ◽  
Vol 33 (S1) ◽  
pp. s270-s270
Author(s):  
A. Abdelkarim ◽  
D. Nagui Rizk ◽  
M. Esmaiel ◽  
H. Helal
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Borderline Personality ◽  
Language And Culture ◽  
Self Injury ◽  
Suicidal Attempts ◽  
Competing Interest ◽  
Almost All

IntroductionDialectical behavior therapy (DBT) is a comprehensive psycho-social treatment developed by Marsha Linehan and originally designed for persons meeting criteria for borderline personality disorder (BPD). DBT is considered as a standard evidence based treatment for suicidal BPD patients in most international guidelines. Although its effectiveness has been proved in multiple studies across different patient populations but almost all the research was conducted in North American or European countries. The current study was the first trial to apply DBT in Egypt with a different language and culture than where the treatment was originally developed.ObjectivesAssessment of incidence of suicidal attempts and non-suicidal self-injury (NSSI) among a sample of Egyptian BPD patients enrolled in an outpatient DBT program.AimThe aim of the current study was to estimate impact of comprehensive DBT on suicidal attempts and NSSI when applied to Egyptian BPD patients.MethodsTwenty-five BPD patients, 4 males and 21 females, were included in a comprehensive outpatient DBT program for one year and incidence of suicidal attempts and NSSI were calculated.ResultsFive patients only attempted suicide again with an incidence of 20% and a mean of one attempt/patient. Seven patients attempted NSSI with an incidence of 28%, an overall 22 incidents and a mean of 3 incidents/patient.ConclusionAlthough this was the first time to apply DBT in an Egyptian population, DBT proved to be an effective psycho-therapeutic intervention for suicidal BPD patients across regardless of different language or culture.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Dating Violence Victimization, Nonsuicidal Self-Injury, and the Moderating Effect of Borderline Personality Disorder Features in Adolescent Inpatients

2017 ◽  
Vol 35 (15-16) ◽  
pp. 3124-3147 ◽  
Author(s):  
Claire Hatkevich ◽  
William Mellick ◽  
Tyson Reuter ◽  
Jeff R. Temple ◽  
Carla Sharp
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dating Violence ◽  
Dialectical Behavior Therapy ◽  
Borderline Personality ◽  
Moderating Effect ◽  
Violence Victimization ◽  
Self Injury ◽  
Adolescent Inpatients ◽  
Nonsuicidal Self Injury

The aim of the study was to examine whether Borderline Personality Disorder (BPD) features moderate the relation between dating violence victimization (DVV) experiences and nonsuicidal self-injury (NSSI) in adolescent inpatients. A total of 184 adolescent inpatients completed measures on DVV, BPD features, and NSSI at admission to treatment. Bivariate analyses revealed significant relations between DVV, BPD features, and NSSI. Hierarchical multiple regression analyses demonstrated a moderating effect of BPD features such that in the low BPD features group, more severe DVV was associated with greater NSSI frequency; adolescents in the high BPD group endorsed elevated, though stable, levels of NSSI at all levels of DVV. BPD features differentially affect the relationship between DVV and NSSI. Low BPD adolescents exposed to high DVV appear to self-injure more frequently and at rates similar to high BPD adolescents when faced with more severe DVV, while DVV appears neither necessary nor sufficient to be the cause of NSSI in high BPD adolescents. Our results indicate that DVV may be a particularly important focal point for treating adolescents who self-injure and have been victimized by a dating partner. As such, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Dialectical Behavior Therapy (DBT) may serve as valuable clinical interventions.

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