The new analysis, by Joan Asarnow, Ph.D., of the University of California, Los Angeles, and colleagues, showed that even though both groups showed improved emotion regulation, youth who received DBT showed bigger improvements through the treatment period and at the 12-month follow-up than those who received IGST. IGST included individual therapy, adolescent supportive group therapy, as-needed parent sessions, and weekly therapist team consultation. DBT included individual psychotherapy, multi-family group skills training, youth and parent telephone coaching, and therapist team coaching. Participants were randomly selected to receive either DBT or IGST for 6 months with up to 12 months of follow-up. The trial enrolled 173 adolescents age 12 to 18 who had prior suicide attempts, self-harm, and suicidal ideation. DBT also aims to teach skills to parents so they can support their children in the treatment. Because difficulties in emotion regulation are believed to be drivers of suicidal and self-harm behaviors, a goal of DBT is to strengthen skills that lead to improved emotion regulation, or managing painful emotions in healthy, safe ways. In DBT, emotion regulation refers to managing sensitivity to emotional stimuli and intensity of emotional reactions. Investigators from that trial recently expanded on their initial findings by analyzing whether the lower rates of suicide attempt and NSSI in the youth receiving DBT could be due to changes in emotion regulation induced by the therapy. In 2018, findings from an NIMH-supported clinical trial of adolescents at high risk for suicide and self-harm showed that rates of suicide attempt and NSSI were lower for those who received DBT than they were for those who received individual and group supportive therapy (IGST) during the trial. To address the need to reduce suicide deaths, researchers have focused their efforts on identifying treatments for those at high risk and learning more about the mechanisms that make treatments work best.Ī type of psychotherapy called dialectical behavior therapy (DBT) has shown promise as a treatment for individuals with histories of suicide attempts and non-suicidal self-injury (NSSI). Suicide is the second leading cause of death among adolescents and young adults in the U.S. Improved Emotion Regulation in Dialectical Behavior Therapy Reduces Suicide Risk in Youth Research Training and Career Development Opportunities.Research Conducted at NIMH (Intramural Research Program).Upcoming Observances and Related Events.Contribute to Mental Health Research Mobile navigation
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