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Reducing suicidality in autism-spectrum patients using dialectical behaviour therapy

The effect of dialectical behaviour therapy in autism-spectrum patients with suicidality and/ or self-destructive behaviour: a multi-site randomized controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN96632579
Enrollment
128
Registered
2019-05-01
Start date
2018-08-23
Completion date
Unknown
Last updated
2025-09-08

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

Conditions

Suicidal ideation, self-harm and suiciadal behaviour in patients with autism-spectrum disorder Mental and Behavioural Disorders

Interventions

The study design is a multicentre single-blind randomized controlled trial with two arms. The experimental arm is Dialectical Behaviour Therapy and the active control arm is individual psychotherapy.

Sponsors

VU University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Age between 18 and 65 years 2. Meets DSM V criteria for autism spectrum disorder 3. Suicidal ideation above cutoff on SIDAS (score =21) and/or level of suicidality/self-harming behavior on the LPC rated as severe (score = 2 on any item) 4. Outpatient status

Exclusion criteria

Exclusion criteria: 1. IQ <80 2. Addiction to illicit drugs in need of clinical detoxification 3. Insufficient mastery of the Dutch language

Design outcomes

Primary

MeasureTime frame
Suicidal ideation measured by the 'Suicidal Ideation Attributes Scale' and self-harm and suicidal behaviour as measured by the 'Lifetime Parasuicide Count'.

Secondary

MeasureTime frame
1. Social Anxiety (Social Interaction Anxiety Scale) 2. Depression (Beck Depression Inventory-2) 3. Quality of Life (Manchester Short Assessment of Quality of Life) 4. Social functioning (Personal and Social Performance Scale) 5. Autism symptoms (Autism Spectrum Quotient-28 & Social Responsiveness Scale) 6. Emotion Regulation {Difficulties in Emotion Regulation Scale: mediator) 7. Working Alliance (Working Alliance Questionnaire: mediator) 8. Alexithymia (Toronto Alexithymia Scale: moderator) 9. Utilities (EuroQoL-5D: cost-utilities) 10. Health costs (Trimbos/iMTA questionnaire for costs associated with Psychiatric illness: cost utilities)

Countries

Netherlands

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 28, 2026