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Does dialectical behaviour therapy (DBT) reduce hospital utilisation by self-harming participants?

Hospital utilisation by self-harming participants: a waiting list control evaluation of dialectical behaviour therapy

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN52125767
Enrollment
48
Registered
2013-07-15
Start date
2000-06-01
Completion date
Unknown
Last updated
2019-11-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Deliberate self-harm / Personality Disorders Mental and Behavioural Disorders

Interventions

Dialectical Behaviour Therapy (DBT) Following the four preliminary sessions, outlined above, the intervention group received 12-months of DBT, in keeping with the principles described by Linehan (1993

Sponsors

Dorset HealthCare University NHS Foundation Trust (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Aged 18 years and over, men and women. 2. Referrals to the Intensive Psychological Therapies Service (IPTS). 3. History of DSH for at least a year, with a minimum of at least 6 self-harming incidents in the last year (Kreitman, 1977).

Exclusion criteria

Exclusion criteria: 1. On-going in-patient care. 2. Drug or alcohol dependence (DSM-IV, 1994). 3. A psychotic disorder (DSM-IV, 1994).

Design outcomes

Primary

MeasureTime frame
The frequency and duration of all inpatient admissions, and frequency of A&E admissions, were measured for 6 monthly periods for the 6 months before the study, the study period, and up to 24-months after the intervention. This was collected by using the Dorset HealthCare Trust Participant Administration System.

Secondary

MeasureTime frame
1. Millon Clinical Multi-axial Inventory (MCMI-III). This assessed if a client had any of 10 Clinical Syndromes and 14 Personality Patterns, by answering true or false statement questions. 2. Clinical Outcomes in Routine Evaluation (CORE). This assessed a clients? level of risk to themselves and others, and an overall global distress score, using a 5-point likert scale. 3. Dissociation Questionnaire (DisQ). This measured the amount of dissociation felt by a client, using a 5-point likert scale. 4. Deliberate self-harm. Measured on a 9-point likert scale that rated the frequency of self-harming behaviour over the previous year. 5. Service Satisfaction Scale (SSS-30) was used to assess client satisfaction with the service, using a 5-point likert scale. All were self-report measures and were measured before and after the study period, and at 12- and 24-month follow-up.

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026