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. 2020 May 4;2020(5):CD012955. doi: 10.1002/14651858.CD012955.pub2

Mohamadizadeh 2017.

Study characteristics
Methods 16 sessions trial with 3 arms
  1. Dialectical behavior therapy (DBT)

  2. Schema therapy (ST)

  3. Control (no intervention)


Duration of trial: 16 sessions
Country: Iran
Setting: inpatient
Participants Method of recruitment of participants: convenience sampling method
Sample size: 36
Diagnosis of borderline personality disorder: Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM‐IV)
Means of assessment: Structured Clinical Interview for DSM‐IV Axis II Disorders (SCID‐II)
Mean age: not stated
Sex: 100% female
Comorbidity: not stated
Inclusion criteria: not stated
Exclusion criteria
  1. Patients with previous suicide attempt or recurrent suicidal behaviour

  2. People with perturbations, such as bipolar disorder, substance abuse and personality disorder, treated with the drug were initially excluded.

Interventions Experimental group 1Treatment name: DBT
Number randomised to group: 12
Duration: 16 sessions for 90 minutes
Experimental group 2Comparison name: ST
Number randomised to group: 12
Duration: 16 sessions for 90 minutes
Control/comparison groupComparison name: no treatment
Number randomised to group: 12
Duration: 16 sessions for 90 minutes
Both groupsConcomitant psychotherapy: none
Concomitant pharmacotherapy: none; "The use of any psychiatric medication during training, from the very first session of treatment, and the use of any type of psychological services were abandoned." (quote, p 1027)
Proportions of participants taking standing psychotropic medication during trial observation period: equal (medication not allowed)
Outcomes Primary
  1. Suicide‐related outcomes, assessed by the Beck Scale for Suicidal Ideation, suicidal thoughts subscale (BSS)


Secondary
  1. Depression, assessed by the Beck Depression Inventory (BDI)

Notes Sample size calculation: not stated
Ethics approval: not stated
Comments from review authors: none
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: insufficient information. It was unclear if the no treatment control group were randomized or not
Allocation concealment (selection bias) Unclear risk Comment: insufficient information
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Comment: insufficient information
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Comment: no attrition rates reported; no imputation methods reported
Selective reporting (reporting bias) Unclear risk Comment: no protocol found, so we could not compare planned methods with reported methods
Other bias Unclear risk Adherence to treatment
Comment: no adherence check stated, but a list over each session was provided
Attention bias
Comment: no differences between groups
Allegiance bias
Comment: none