Table 5. McCauley et al. 122.
Sample size (at
randomization) |
Sample characteristics | Recruitment
setting |
Inclusion criteria | Exclusion criteria | Major diagnoses |
---|---|---|---|---|---|
Total=173; T=86,
C=87 |
12–18 years old; 95%
female; 56% Caucasian; 27% Hispanic; 7% African American; 6% Asian American; <1% Native American; 2% other |
Emergency
department, inpatient, outpatient, community |
Lifetime SA ≥1;
elevated SI over past month (SIQ-Jr ≥24); lifetime SH ≥3, with ≥1 SH episode in past 12 weeks; ≥3 BPD criteria |
IQ <70; psychosis;
mania; anorexia nervosa; life-threatening conditions; youth not fluent in English; parent not fluent in Spanish or English |
MDD (84%); ANX
(54%); BPD (53%); ED (<1%) |
SH outcome
measures |
Treatment condition | Control condition | Assessments | Treatment attrition
and completion |
Results |
SI (SIQ-Jr); SA
(SASII); NSSI (SASII); SH (SASII) |
DBT: individual sessions;
multifamily skills training; youth and parent phone coaching; individual parent sessions; family sessions as needed Dose: 6 months of weekly individual and group sessions; weekly therapist team consultation |
IGST: individual
and group sessions, parent sessions (as needed) Dose: 6 months of weekly individual and group sessions; weekly therapist team consultation |
Pretreatment
(baseline), mid- treatment (3 months), post-treatment (6 months), follow-up at 9 and 12 months |
Treatment completion
(≥24 adolescent sessions): DBT: 45.4% IGST: 16.1% Attrition post-treatment: DBT: 10.5% IGST: 24.1% 12-month follow-up: DBT: 19.8% IGST: 26.4% |
Significantly
greater decrease in SI, SA, NSSI, and SH frequency for DBT (compared to IGST) at post- treatment NS between-group differences in SI, SA, NSSI, and SH from post- treatment to 12- month follow-up |
ANX, anxiety disorder (type not specified); BPD, borderline personality disorder; C, control condition; DBT, dialectical behavior therapy; ED, eating disorder; IGST, individual and group supportive therapy; MDD, major depressive disorder; NS, non-significant; SA, suicide attempt; SASII, suicide attempt self-injury inventory; SH, self-harm; SI, suicide ideation; SIQ-Jr, suicide ideation questionnaire, junior; T, treatment condition.