Linehan 2006.
Methods | Design: parallel randomised controlled trial |
Participants |
Participants: women with recent suicidal and self‐injurious behaviours meeting criteria for BPDa Sex: all female Age: mean = 29.3 years (SD = 7.5) Unit of allocation: individual participant Number randomised: for whole sample n = 101 (n = 52 intervention group; n = 49 control group); data not extractable for any AsPD subgroupa Number completing: data not extractable for any AsPD subgroupa Setting: outpatient; single site; urban; USA (Washington) Inclusion criteria: aged 18 to 45 years; meeting criteria for BPD (DSM‐IV, IPDE); current or past suicidal behaviour (2 suicide attempts or self‐injuries in past 5 years, with at least 1 in past 8 weeks) Exclusion criteria: lifetime diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, psychotic disorder, psychotic disorder not otherwise specified, mental retardation; seizure disorder requiring medication; a mandate to treatment; needing primary treatment for another debilitating condition Ethnicity: (for whole samplea) white (87%), African American (4%), Asian American (2%), native American (1%), other (5%) Baseline characteristics: (for whole samplea) single, divorced or separated (87.2%); median number suicide attempts in past 5 years 1.0 (IQR 0.5 to 4.0); median number self‐injuries in past 5 years 10.0 (interquartile range = 2.0 to 47.0); college graduate (23.8%); current major depressive disorder (72.3%); current anxiety disorder (78.2%); current substance use disorder (29.7%); current eating disorder (23.8%); current panic disorder (40.6%); comorbid cluster A personality disorder (3.0%); comorbid cluster B personality disorder other than BPD (10.9%), cluster C PD (25.7%) |
Interventions | Two conditions: dialectical behaviour therapy (DBT); or community treatment by experts (CTBE)
Details of conditions:
Duration of intervention: 12 months Duration of trial: 12 months Length of follow‐up: Participants were followed up for 12 months after end of treatment. |
Outcomes |
Primary outcomes
Secondary outcomes
Other outcomes
|
Notes | aStudy may have recruited a subgroup with AsPD since 11 of 101 participants (10.9%) had a cluster B personality disorder other than BPD. No data extractable on any AsPD subgroup. Awaiting clarification from investigators (Linehan 2006) |