Table 1.
Study | CTAM Score |
Sample Size |
Gender | Mean Age (Minimum, Maximum) |
Sample Description |
Rx Use |
BPD Assessment |
Parasuicide/ Suicide Assessment |
Depression Assessment |
Therapist Experience |
Treatment Comparison |
Follow- Up (Month) |
12-Month Attrition Rate |
12-Month Suicide Attempt/ Parasuicidal Behavior |
12-Month Depression |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Linehan, Armstrong, Suarez, Allmon, and Heard (1991) | 65 | 44 | Women | — (18, 45) | Clinically referred, ≥2 parasuicide incidents in last 5 years | Not reported | DIB | PHI—average events/person | n/a | Not reported | DBT | 4 | DBT: 45% | Mean difference | Not assessed |
TAU | 8 | TAU: 41% | DBT: −2.95 | ||||||||||||
12 | TAU: −6.58 | ||||||||||||||
σTAU Pre = 26.95 | |||||||||||||||
σTAU Post = 25.02 | |||||||||||||||
Linehan et al. (2006) | 85 | 101 | Women | 29.3 (18, 45) | ≥2 parasuicide incidents in last 5 years, one in past 8 weeks | Not reported | SCID | SASI Numbe of suicide attempts | HAM-D | 25% DBT >10 years, 56% CTBE >10 years | DBT | 12 | DBT: 11.5% | % Attempted | Mean difference |
CTBE | DBT: 23.1 | ||||||||||||||
CTBE: 28.6% | CTBE: 46.0 | DBT: −6.2 | |||||||||||||
Hazard ratio (95% CI) = 2.66 [2.4, 18.07] | CTBE: −4.7 | ||||||||||||||
σTAU Pre = 7.3 | |||||||||||||||
σCBTE Post = 8.2 | |||||||||||||||
Koons et al. (2001) | 83 | 28 | Women | 35.5 (21, 46) | Clinically referred, VA Ctr, 40% parasuicide in previous 6 months | Not reported | SCID-I | PHI | BDI | Average 8.2 years’ experience | DBT | 12 | DBT: 23% | Mean difference | Mean difference |
SCID-II | HAM-D | TAU | TAU: 17% | ||||||||||||
DBT: −4.7 | DBT: −12.6 | ||||||||||||||
TAU: +.3 | TAU: −8.3 | ||||||||||||||
σTAU Pre = 1.3 | σTAU Pre = 9.7 | ||||||||||||||
σTAU Post = 2.2 | σTAU Post = 7.8 | ||||||||||||||
Verheul et al. (2003) | 94 | 58 | Women | 34.9 (18, 70) | Clinically referred, no source restriction | DBT: 52% | BPDSI | BPDSI, self-report | n/a | Not reported | DBT | 12 | DBT: 37% | % Attempted | Not assessed |
TAU | TAU: 77% | DBT: 7% | |||||||||||||
TAU: 61% | TAU: 26% | ||||||||||||||
χ2= 3.24 | |||||||||||||||
Turner (2000) | 70 | 24 | Both | 22 (18, 27) | Clinically referred, outpatient suicide attempt treatment | DBT: 75% | DIB | Daily log of events | BDI | Avg. 22 yrs Family systems, clientcentered, psychodynamic | DBT | 6 | DBT: 25% | Mean difference | Mean difference |
SCID | HAM-D | CCT | 12 | CCT: 50% | |||||||||||
CCT: 92% | DBT: −5.67 | DBT: −13.25 | |||||||||||||
CCT: −3.00 | CCT: −4.84 | ||||||||||||||
σTAU Pre= .75 | σTAU Pre= 4.46 | ||||||||||||||
σTAU Post= 2.18 | |||||||||||||||
σTAU Post= 3.90 | |||||||||||||||
Clarkin, Levy, Lenzenweger, and Kernberg (2007) | 74 | 90 | Both | 30.9 (18, 50) | Recruited from NY tristate area, history of parasuicide | TFP: 52% | IPE | OAS-m Suicidality | BDI | ≥2 years experience w/BPD patients and treatment type | TFP | 4 | 8.1% overall | HLM β1, effective size | HLM β1, effective size |
DBT: 70% | DBT | 8 | |||||||||||||
DST | 12 | TFP: −.55, .50 | |||||||||||||
DST: 65% | TFP: −.05, .33 | DBT: −.59, .38 | |||||||||||||
DBT: −.09, .34 | |||||||||||||||
DST: −.03, .43 | DST: −.69, .49 |
Note. DDI = Beck Depression Inventory; BPD = borderline personality disorder; BPDSI = BPD Severity Index; CCT = client-centered therapy; CTAM = Clinical Trials Assessment Measure; CTBE= Community Treatment By Experts, DBT = dialectical behavior therapy; DST = Dynamic Supportive Treatment; HAM-D = Hamilton Depression Rating scale; HLM= Hierarchical Linear Modeling; IPE = Initial Psychiatric Examination; OAS-m = Overt Aggression scale (modified); PHI = Parasuicide History Interview; Rx = Treatment; SASI = Suicide Attempt Self-Injury Interview; SCID = Structured Clinical Interview for DSM-IV Disorders TAU = treatment as usual; TFP = transference-focused psychotheraphy.