About this trial
The project is a collaboration between The National Centre for Suicide Research and Prevention (NSSF) and clinical units with Dialectical Behaviour Therapy (DBT) programmes. A methodological and technological platform has been established that enables clinicians to deliver high quality treatments over extended periods of time, to evaluate their own performance and productivity and to report it in a uniform and systematic way that will enable comparison across clinical settings and programmes. The collected data constitute the basis for conducting the clinical study with the overall aim to study predictors of the clinical course and treatment response in patients admitted to DBT programmes in Norway.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
History of repeated deliberate self harm
Satisfies criteria of Diagnostic and Statistical Manual (DSM-IV) Borderline Personality Disorder as measured by Structured Clinical Interview for the DSM (SCID-II) in addition to the self-destructive criterion.
Disqualifiers
Psychotic disorders
Anorexia Nervosa
Substance dependence disorder
Mental retardation (IQ less than 70)
Trial design
Single group
Treatments tested in this trial
Dialectical Behaviour Therapy adapted for adolescents (DBT-A)
BehavioralDBT developed by Marsha Linehan (Linehan 1993a; 1993b) and adapted for adolescents (DBT-A) by Miller, Rathus \& Linehan, 2007 consisting of 20 weeks of weekly individual therapy (60 minutes), multifamily skills training (120 minutes), family therapy sessions as needed and telephone coaching outside therapy sessions.
Dialectical Behaviour Therapy - Standard version (DBT)
BehavioralDBT developed by Marsha Linehan (Linehan 1993a, 1993 b) consisting of 1 weekly session of individual therapy (60 minutes), 1 weekly session of skills training (120 minutes), and telephone coaching with individual therapists outside therapy sessions as needed.
Treatment groups
Trial outcomes
Primary outcomes
Self-harm behaviour
Number of self-harm episodes (split on suicide attempts and non-suicidal self-harm)
Suicidal Ideation (adolescents)
Suicidal Ideation Questionnaire (SIQ-Jr). Min=0, Max=90. Higher scores indicate worse outcome
Depressive symptoms
MADRS (Montgomery Asberg Depression Rating Scale).Min=0, Max=60. Higher scores indicate worse outcome
Suicidal Ideation (adults)
Beck Scale for Suicidal Ideation (BSS). MIn=0, Max=38. Higher scores indicate worse outcome
Secondary outcomes
Borderline Symptoms
Borderline Symptom List (BSL-23). Min=0, Max=92. Higher scores indicate more symptoms.
Hopelessness
Beck Hopelessness Scale (BHS). Min=0, Max=20. Higher scores indicate more hopelessness.
Sponsors and contacts
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Oslo University Hospital
Lead sponsor
Vestre Viken Hospital Trust
Collaborator
St. Olavs Hospital
Collaborator
Sykehuset Ostfold
Collaborator
University of Oslo
Collaborator
Nordlandssykehuset HF
Collaborator