BACKGROUND To date, there are no empirically validated treatments of good quality for adolescents showing suicidality and non-suicidal self-injurious behavior. Risk factors for suicide are impulsive and non-suicidal self-injurious behavior, depression, conduct disorders and child abuse. Behind this background, we tested the main hypothesis of our study; that Dialectical Behavioral Therapy for Adolescents is an effective treatment for these patients. METHODS Dialectical Behavioral Therapy (DBT) has been developed by Marsha Linehan - especially for the outpatient treatment of chronically non-suicidal patients diagnosed with borderline personality disorder. The modified version of DBT for Adolescents (DBT-A) from Rathus & Miller has been adapted for a 16-24 week outpatient treatment in the German-speaking area by our group. The efficacy of treatment was measured by a pre-/post- comparison and a one-year follow-up with the aid of standardized instruments (SCL-90-R, CBCL, YSR, ILC, CGI). RESULTS In the pilot study, 12 adolescents were treated. At the beginning of therapy, 83% of patients fulfilled five or more DSM-IV criteria for borderline personality disorder. From the beginning of therapy to one year after its end, the mean value of these diagnostic criteria decreased significantly from 5.8 to 2.75. 75% of patients were kept in therapy. For the behavioral domains according to the SCL-90-R and YSR, we have found effect sizes between 0.54 and 2.14.During treatment, non-suicidal self-injurious behavior reduced significantly. Before the start of therapy, 8 of 12 patients had attempted suicide at least once. There were neither suicidal attempts during treatment with DBT-A nor at the one-year follow-up. CONCLUSIONS The promising results suggest that the interventions were well accepted by the patients and their families, and were associated with improvement in multiple domains including suicidality, non-suicidal self-injurious behavior, emotion dysregulation and depression from the beginning of therapy to the one-year follow-up.

中文翻译：

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青少年辩证行为疗法（DBT-A）：一项针对有自杀和自伤行为以及边缘症状的患者的临床试验，随访期为一年。

背景迄今为止，对于表现出自杀倾向和非自杀性自伤行为的青少年，还没有经过经验验证的优质治疗方法。自杀的危险因素是冲动性和非自杀性自伤行为、抑郁、品行障碍和虐待儿童。在此背景下，我们检验了我们研究的主要假设；青少年辩证行为疗法对这些患者来说是一种有效的治疗方法。方法辩证行为疗法 (DBT) 是由 Marsha Linehan 开发的 - 特别是用于诊断为边缘型人格障碍的慢性非自杀患者的门诊治疗。Rathus & Miller 的青少年 DBT 修改版 (DBT-A) 已被我们小组改编为德语区 16-24 周的门诊治疗。在标准化仪器（SCL-90-R、CBCL、YSR、ILC、CGI）的帮助下，通过前后比较和一年随访来衡量治疗效果。结果 在试点研究中，12 名青少年接受了治疗。在治疗开始时，83% 的患者符合 DSM-IV 边缘型人格障碍的五个或更多标准。从治疗开始到结束后一年，这些诊断标准的平均值从5.8显着下降到2.75。75% 的患者继续接受治疗。对于根据 SCL-90-R 和 YSR 的行为域，我们发现效果大小在 0.54 和 2.14 之间。在治疗期间，非自杀性自伤行为显着减少。在开始治疗之前，12 名患者中有 8 名至少曾尝试过一次自杀。在 DBT-A 治疗期间和一年随访期间均未发生自杀企图。结论 有希望的结果表明，这些干预措施被患者及其家属广泛接受，并且与多个领域的改善有关，包括从治疗开始到治疗结束的自杀、非自杀性自伤行为、情绪失调和抑郁。年随访。