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

Not Applicable
Completed
Conditions
Deliberate self-harm / Personality Disorders
Mental and Behavioural Disorders
Registration Number
ISRCTN52125767
Lead Sponsor
Dorset HealthCare University NHS Foundation Trust (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
48
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

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

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
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 Outcome Measures
NameTimeMethod
<br> 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.<br> 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.<br> 3. Dissociation Questionnaire (DisQ). This measured the amount of dissociation felt by a client, using a 5-point likert scale.<br> 4. Deliberate self-harm. Measured on a 9-point likert scale that rated the frequency of self-harming behaviour over the previous year.<br> 5. Service Satisfaction Scale (SSS-30) was used to assess client satisfaction with the service, using a 5-point likert scale.<br><br> All were self-report measures and were measured before and after the study period, and at 12- and 24-month follow-up.<br>
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