Borderline Personality Disorder, Deliberate Self Harm
Conditions
Brief summary
The investigators conducted a pre-post naturalistic study regarding changes observed associated with a 15-week course of an adapted form of dialectical behaviour therapy for adolescents. We measured frequency of self-harm prior to treatment and after treatment using the Self-Injurious Thoughts and Behaviors Interview. We also measured changes using the Suicide Ideation Questionnaire, Life Problems Inventory, Resiliency Scale for Children and Adolescents.
Interventions
Adapted Dialectical Behaviour Therapy for Adolescents
Sponsors
Study design
Eligibility
Inclusion criteria
* features of Borderline Personality Disorder (BPD) and recent history of self-injurious thoughts or behaviours. 1. meeting criteria for BPD or for subsyndromal variants of BPD, and (2) self-injurious thoughts and behaviours defined as: (a) a score \> 30 on the Suicidal Ideation Questionnaire (SIQ) OR (b) Deliberate Self-harm in the 4 months prior to treatment
Exclusion criteria
* severe substance use (where residential treatment would be indicated), florid psychosis and developmental delay
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Frequency of Deliberate Self-harm | 15 weeks | Self-Injurious Thoughts and Behaviors Interview was performed by clinicians. Using the scale the investigators rated the frequency of deliberate self-harm of participants (with or without suicidal intent) as most days, twice or more per week, once or more per week, less than once per week, less than once per 2 weeks and less than once a month or no self-harm in the 4 month interval prior to treatment and the 4 month interval during treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Suicidal Ideation Questionnaire | 15 weeks | Self-report measure was requested a baseline and end of treatment to measure the severity of suicidal ideas. |
| Life Problems Inventory | 15 weeks | Symptoms of Borderline Personality Disorder were measured by a self-report form at baseline and post-treatment. |
| Resiliency Scales for Children and Adolescents | 15 weeks | RSCA is a self-report measure that was performed at baseline and post-treatment. |
| Attrition from therapy | 15 weeks | If participants missed 4 or more individual therapy sessions; OR 4 or more group sessions, they were considered to have dropped out of therapy. |