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. 2022 Feb 25;29(4):1203–1235. doi: 10.1002/cpp.2726

TABLE 1.

Included study characteristics in date order from oldest to most recent, participant age and ethnicity, details of psychotherapy delivery, format and context and therapist qualifications and supervision

Study characteristics Participants Psychotherapy delivery, format and context Therapists
Study number and reference Country Design Sample population and study setting Therapy arm sample size Mean age Ethnicity and Gender Psychotherapy type and session length Length and setting of psychotherapy N and qualifications Supervision
1. Shearin and Linehan (1992) USA Cohort/longitudinal People with a diagnosis of BPD and parasuicidal behaviour in the community 4 Not reported Not reported; 100% female Dialectical behavioural therapy (DBT): 60‐min individual sessions and 150‐min group skills per week Up to 31 sessions over 7 months at an outpatient university research clinic 4 psychology and nursing graduate students Supervision provided to ensure adherence to DBT protocol, but no further details reported
2. Turner (2000) USA Two‐armed RCT; active control People with a diagnosis of BPD in the community

Total: 24

DBT: 12

Total: 22.00

Total: 79.17% Caucasian;

79.17% female

DBT: Individual (DBT skills sessions provided in individual sessions) a Up to 84 individual sessions over 12 months at a community mental health outpatient clinic

4 therapists; background in client‐centred, psychodynamic and family systems conducted both therapies

DBT: Trained to conduct DBT

Weekly group supervisions (one for each therapeutic modality). Reviewed therapy audio recordings to monitor treatment fidelity
Active control: 12 Active control: Individual client‐centred therapy a Active control: Trained to work with people diagnosed with BPD
3. Goldman and Gregory (2009) USA Two‐armed RCT; TAU control Diagnosis of BPD; clinical settings—non‐specific 15 27.40 85.70% Caucasian; 90% female Dynamic deconstructive psychotherapy: Individual a Up to 52 sessions over 12 months b 5 therapists; 1 expert therapist, 4 third‐year trainee psychiatrists Weekly group supervision. Biweekly individual supervision was used to review audio recordings to monitor treatment fidelity
4. Hirsh et al. (2012) Canada Two‐armed RCT; active control People with a diagnosis of BPD and experience of suicidal behaviour and NSSI outpatient

Total: 87

DBT: 43

Total: 31.41

DBT: 30.56

Not reported; 100% female DBT: 60‐min individual sessions, 120‐min skills group and 120‐min phone coaching Sessions delivered weekly over 1 year at two teaching hospitals c

25 therapists

DBT: 13 therapists

3 psychiatrists, 4 PhD level psychologists, 5 master's level clinicians and 1 nurse

DBT: Weekly group supervision (2 h)
Active control: 44 Active control: 32.25 Not reported Active control: Individual general psychiatric management (includes dynamically informed psychotherapy) a

Active control: 12 therapists

8 psychiatrists, 1 PhD level psychologist, 1 master's level clinician and 2 nurses

Active control: Weekly group supervision (90 min)
5. Bryan et al. (2012) USA Cohort/longitudinal

Military

Primary care clinic

497 37.14 54.10% Caucasian; 57.7% female CBT: 30‐min individual sessions Up to 8 sessions at a primary care clinic 22 therapists; 8 clinical psychologists (6 trainers and 2 externship trainees), 9 predoctoral clinical psychology interns and 5 social worker interns Interns were trained under the supervision of clinical psychologists to deliver CBT. No further details on supervision reported
6. Perry et al. (2013) Canada Cohort/longitudinal People with diagnoses of anxiety, depression and/or PD outpatient—psychiatry 53 30.90 Not reported; 77% female Long‐term dynamic psychotherapy: Individual a Up to 339 sessions over a median of 4.19 years at an outpatient clinic 22 therapists; psychiatrists, psychologists, social workers and advanced practice nurses; 20 were also psychoanalysts No supervision groups or specific therapy manual used
7. Tsai et al. (2014) Canada Cohort/longitudinal People with a diagnosis of depression who were outpatient/in the community 80 47.82 76.10% Caucasian; 73% female CBT for depression: 120‐min group sessions Up to 10 sessions over 10 weeks at an outpatient community mental health service/hospital 2 therapists; 1 clinical psychologist and 1 psychiatrist Not reported
8. Bedics et al. (2015) USA Two‐armed RCT; active control People with a diagnosis of BPD and experience of suicidal behaviour and NSSI in the community

Total: 101

DBT: 52

Total: 29.30 Total: 86.50% Caucasian; 100% female DBT: 60‐min individual sessions and 150 min of group skills and telephone consultations per week Sessions delivered over 1 year at university outpatient clinic and community practice c

37 therapists

DBT: 15 (12 of whom had a doctoral degree)

DBT: Weekly group supervision
Active control: 49 Active control: Community treatment by experts (eclectic/psychodynamic therapy) a Active control: 25 (14 of whom had a doctoral degree) Active control: Not required to attend supervision
9. Gysin‐Maillart et al. (2016) d Switzerland Two‐armed RCT; TAU control People who had recently attempted suicide who are attending a psychiatry outpatient department 60 36.50 Not reported; 60% female Attempted Suicide Short Intervention Program (ASSIP):Up to 90‐min individual sessions 3 sessions (4 if necessary) delivered weekly at an outpatient department 4 therapists; 1 psychiatrist and 3 clinical psychologists (2 of whom were experienced in clinical suicide prevention) Regular supervision to review therapy video recordings to ensure therapy fidelity
10. Gysin‐Maillart et al. (2017) d Switzerland RCT; TAU control People who had recently attempted suicide who are attending a psychiatry outpatient department 60 36.50 Not reported; 60% female ASSIP: Up to 90‐min individual sessions 3 sessions (4 if necessary) delivered weekly at an outpatient department 4 therapists; 1 psychiatrist and 3 clinical psychologists (2 of whom were experienced in clinical suicide prevention) Regular supervision to review therapy video recordings to ensure therapy fidelity
11. Plöderl et al. (2017) Austria Cohort/longitudinal People who had attempted suicide and/or had suicidal ideation and were admitted to an inpatient ward 633 39.19 Not reported; 51% female Individual and group psychotherapeutic crisis intervention (eclectic, pan‐theoretical and flexible) a Up to 15 weekly sessions over 3 weeks on the inpatient ward and up to 5 further follow‐up sessions over 6 months delivered at a clinic or via telephone 7 therapists; psychiatrists, psychotherapists/psychologists Not reported
12. Rufino and Ellis (2018) USA Cohort/Longitudinal People with diagnoses related to mood, anxiety and/or PD and suicidal thoughts and admitted to an inpatient ward 434 33.44 91.00% Caucasian; 53.5% female Individual therapy; psycho‐educational and therapeutic groups; family therapy a Sessions delivered on an inpatient ward c Not reported Not reported
13. Ibrahim et al. (2018) d USA Two‐armed RCT; active control People who were experiencing depression and suicidal thoughts recruited from a mix of clinical and non‐clinical settings

Total: 115

Attachment‐based family therapy: 60

Total: 14.96 Total: 28.70% Caucasian; 82.9% female Attachment‐based family therapy: 90‐min individual and family therapy sessions 16 weekly sessions over 16 weeks delivered at a university research lab/intervention clinic 17 therapists; all at least master's level Not reported
Active Control: 55

Active control: Family‐enhanced non‐directive supportive therapy

Individual a sessions and 4 60‐min parent psycho‐educational sessions

14. Haddock et al. (2019) UK Two‐armed RCT; TAU control People with experiencing of suicidal thoughts and/or behaviours and admitted to an inpatient ward 24 33.88 91.67% Caucasian; 58% female Cognitive behavioural suicide prevention therapy: Up to 70‐min individual sessions 20 sessions delivered over 6 months on an inpatient ward and followed up in the community 2 therapists; both clinical psychologists who met the British Association for Behavioural and Cognitive Psychotherapies minimum standards for CBT accreditation Weekly supervision
15. Johnson et al. (2019) USA Two‐armed RCT; active control Veterans who had recently attempted suicide and recently discharged from an inpatient ward

Total: 134

Suicide‐focused assessment group therapy: 69

Total: Not reported Suicide Focused Assessment Group Therapy: 47.72 70.90% Caucasian; 11.9% female Suicide‐focused assessment group therapy: Group sessions a Suicide‐focused assessment group therapy: Up to 12 weekly sessions delivered in an outpatient setting 2 therapists facilitated both group therapies; 1 clinical psychologist and 1 social worker Observation and spot checks by the principal investigator ensured adherence and fidelity to suicide‐focused assessment group therapy
Active control: 65 Active control: 48.33

Active control: Usual assessment group therapy

Group sessions a

Active control: Up to 12 weekly sessions delivered in an outpatient setting
16. Ryberg et al. (2019) Norway Two‐armed RCT; active control People with ongoing suicidal ideation, intent, and behaviour in both inpatient and outpatient settings

Total: 78

Collaborative Assessment and Management of Suicidality (CAMS): 37

Total: 39.90

CAMS: 38.40

Not reported; 53% female CAMS with psychodynamic, cognitive or eclectic psychotherapy: Up to 60‐min individual sessions CAMS: A mean of 17.80 therapy sessions were attended weekly, of which 7.90 were CAMS specific. Therapy sessions were delivered in inpatient and outpatient settings. Number of sessions not predetermined 43 therapists; CAMS: 8 psychologists and 1 psychiatrist CAMS: Once therapists were adherent to the CAMS procedure, supervision was available by request
Active control: 41 Active control: 33.70 Active control: Psychodynamic, cognitive or eclectic psychotherapy up to 45‐min individual sessions Active control: A mean of 14.6 weekly sessions delivered in inpatient and outpatient settings. Number of sessions not predetermined Active control: 15 psychologists, 4 residents, 6 psychiatrists and 9 psychiatric nurses Active control: Not reported
17. Stratton et al. (2020) Canada Two‐armed RCT; waitlist control People with diagnosis of BPD; suicidal behaviour and NSSI in an outpatient setting 43 27.29 Not reported; 83.3% female DBT skills: 120‐min group 20 weekly sessions delivered at a teaching hospital 5 therapists; 2 PhD, 3 MSW Weekly group supervision
18. Huggett et al. (2021) UK Two‐armed RCT; TAU control People with non‐affective psychosis‐related diagnoses; suicidal ideation and/or behaviour in both inpatient and outpatient settings 64 36.83 88% Caucasian; 43.75% female Cognitive behavioural suicide prevention therapy: Up to 180‐min individual sessions Up to 24 sessions delivered over 6 months in outpatient and inpatient settings 8 individuals who were clinical psychologists, mental health nurses and a social worker and met the British Association of Behavioural and Cognitive Psychotherapies minimum standards for CBT accreditation Weekly group supervision, monthly individual supervision, and regular peer supervision to ensure and monitor therapy fidelity
19. Ibrahim et al. (2021)d USA Two‐armed RCT; active control People who were experiencing depression and suicidal thoughts recruited from a mix of clinical and non‐clinical settings 118 14.96 28.7% Caucasian; 81.7% female Attachment‐based family therapy: 90‐min individual and family therapy sessions Up to 16 weekly sessions over 16 weeks delivered at a university research lab/intervention clinic 17 therapists; all at least master's level Weekly supervision, which included live supervision and review of therapy tapes

Active control: Family‐enhanced nondirective supportive therapy

Individual a sessions and 4 60‐min parent psychoeducation sessions

a

Length of sessions not reported.

b

Setting not reported.

c

Number of sessions not reported.

d

Used the same RCT sample.