Summary of findings 6. Mentalisation‐Based Treatment‐outpatient (MBT‐out) versus treatment as usual (TAU) for people with borderline personality disorder.
| MBT‐out compared to TAU for people with borderline personality disorder | ||||||
| Patient or population: patients with borderline personality disorder Settings: outpatient Intervention: MBT‐out Comparison: TAU | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
| Assumed risk | Corresponding risk | |||||
| TAU | MBT‐out | |||||
| Suicidality no. of participants with life‐threatening suicide attempts (last 6 months) Follow‐up: mean 18 months | 254 per 1000 | 28 per 1000 (8 to 117) | RR 0.11 (0.03 to 0.46) | 134 (1 study) | ⊕⊕⊕⊝ moderate1 | |
| Parasuicidality no. of participants with self‐harm incidents (last 6 months) Follow‐up: mean 18 months | 429 per 1000 | 240 per 1000 (146 to 394) | RR 0.56 (0.34 to 0.92) | 134 (1 study) | ⊕⊕⊕⊝ moderate1 | |
| Interpersonal problems IIP2 Follow‐up: mean 18 months | The mean interpersonal problems score in the control groups was 1.65 points | The mean interpersonal problems score in the intervention groups was 0.95 standard deviations lower (1.30 to 0.59 lower) | 134 (1 study) | ⊕⊕⊕⊝ moderate1 | ||
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: Confidence interval; RR: Risk ratio | ||||||
| GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. | ||||||
1Total sample size less than 400 2Inventory of interpersonal problems