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Dialectic behaviour therapy reduces suicide attempts compared with non-behavioural psychotherapy in women with borderline personality disorder

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 Q Is dialectical behaviour therapy more effective than non-behavioural psychotherapy in preventing suicidal and self-harming behaviour in women with borderline personality disorder?

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Single blind (assessors blinded).

Embedded ImageFollow up period:

Two years (1 year treatment plus 1 year post-treatment follow up).

Embedded ImageSetting:

Outpatient clinics and community practices, USA; time period not stated.

Embedded ImagePatients:

101 women aged 18–45 years, with DSM-IV borderline personality disorder, and with current or previous suicidal or self-harming behaviour (two episodes within last 5 years, with one in last 8 weeks). Exclusions: requiring treatment for another serious condition, including seizures; lifetime diagnosis of bipolar disorder schizophrenia, schizoaffective disorder, or other psychosis; or mental retardation.

Embedded ImageIntervention:

Dialectical behaviour therapy (DBT) or non-behavioural psychotherapy. DBT: …

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