Borderline Personality Disorder, Suicide
Conditions
Keywords
self-harm, self-mutilation, cutting
Brief summary
Study Aims/Objectives: This projects' Primary Aim is development of a Condensed DBT Stepped Care Model tailored to the unique requirements of students meeting sub-clinical diagnostic criteria for BPD (Borderline Personality Disorder) with its associated high rate of self-harm and suicide.
Detailed description
Study Aims/Objectives: This projects' Primary Aim is development of a Condensed DBT Stepped Care Model tailored to the unique requirements of students meeting sub-clinical diagnostic criteria for BPD with its associated high rate of self-harm and suicide. The investigator previously implemented a 4-mth condensed-DBT regimen with success in an adult clinical population. This study will evaluate an intensive 8 week intervention formulated for students to reduce the high prevalence of self-harm and dysfunctional behavior in this population and reduce the need for extended treatment in later years. It will include rigorous screening for collateral disorders, including Substance Use Disorders exacerbating BPD symptoms and suicide risk.
Interventions
Control intervention consists of informational sessions describing BPD characteristics/ treatment and time- / stress-management skills
The Intervention consists of an 8-week manual based psychoeducational group utilizing modified condensed-DBT Treatment manual previously used in a treatment study (Moen et al, 2012).
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 to 27 * Currently enrolled in college * Meet at least 4 of 9 Criteria of BPD (DSM-V) with one criterion being self-harm (e.g. cut, burn, or hit self)
Exclusion criteria
* have a current major psychiatric disorder diagnosis, or other gross cognitive impairment (as identified in the phone screen or the SCID I measure) or * have undergone DBT or * are suicidal and require full DBT and/or hospitalization or * are currently in any other individual or group therapy * unable to attend weekly visits over 8 weeks, starting March 24, 2014
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in BPD (Borderline Personality Disorder) behaviors | 8-weeks | produce greater decreases in depression, anxiety, self-harm, and other BPD behaviors, |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in reported psychiatric symptoms, | 8-weeks | diminish reported psychiatric symptoms, and Decreased utilization of Emergency Room, crisis, and University Disability Services on campus. |
| Diminished emergency room visits | 8 weeks | self reported ER visits |
Countries
United States