Dialectical Behavior Therapy Skills Group Pilot Evaluation

Not Applicable

Completed

Conditions: Suicidal Ideation
Emotions

Interventions: Behavioral: Dialectical behavior therapy skills group

Registration Number: NCT02499406

Lead Sponsor: VA Connecticut Healthcare System

Brief Summary: Uncontrolled pilot study examines feasibility, acceptability, and preliminary efficacy of Dialectical Behavior Therapy skills group for Veterans with suicidal ideation and emotion dysregulation.

Detailed Description: Uncontrolled pilot study to examine feasibility, acceptability, and preliminary efficacy of Dialectical Behavior Therapy skills group for Veterans with suicidal ideation and emotion dysregulation. Outcome measures will occur at pre-treatment, mid, end, and follow-up.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 17

Inclusion Criteria

Veterans at VACHS who are referred or self-referred to DBT Skills Group
Ages 18-65
Able to understand written and spoken English
DERS score 105 or greater
Suicidal ideation within past 3 months
Seeing an individual mental health provider at VACHS at least monthly
Willing to create or review a Mental Health Safety Plan, and stated willingness to use this plan to maintain safety
Consent to participate in study assessments
Consent to recording of group sessions

Exclusion Criteria

Inability to understand written or spoken English
Diagnosis of schizophrenia, schizoaffective disorder, bipolar I, antisocial personality disorder, or thought disorder in CPRS problem list and confirmed by current mental health provider

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Skills group	Dialectical behavior therapy skills group	Dialectical behavior therapy skills group

Primary Outcome Measures

Name	Time	Method
Feasibility as Assessed by Attendance at Sessions for Duration of Intervention (Percent of Sessions Attended)	6 months	Participation in skills group as assessed by attendance at sessions for duration of intervention (percent of sessions attended)

Secondary Outcome Measures

Name	Time	Method
Emotion Dysregulation as Assessed Using Difficulties in Emotion Regulation Scale at 3months	3 months	Scale title: Difficulties in Emotion Regulation Scale (DERS). Scale range: 36-180. Higher score indicates greater difficulties regulating emotions. Lower score indicates fewer difficulties regulating emotions.
Emotion Dysregulation as Assessed Using Difficulties in Emotion Regulation Scale at 6months (End of Intervention)	6 months	Scale title: Difficulties in Emotion Regulation Scale (DERS). Scale range: 36-180. Higher score indicates greater difficulties regulating emotions. Lower score indicates fewer difficulties regulating emotions.
Coping as Assessed With the DBT Ways of Coping Checklist at 9months	9 months	Scale title: Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL) effective coping subscale. Minimum score: 0. Maximum score: 3. Higher score indicates more frequent use of adaptive coping strategies. Lower score indicates less frequent use of adaptive coping strategies.
Acceptability as Assessed by Positive Feedback on Written Satisfaction Evaluations Completed by Participants at Post-intervention	6 months	Acceptability to participants on the "Client Satisfaction Scale" created for this study. Participants rated group satisfaction on 11 items using 7point scale. Scale is scored by calculating mean of the 11 items. Scale range is 1-7. A higher score indicates greater satisfaction; a lower score indicates greater dissatisfaction, with 4 as the midpoint.
Suicidal Ideation on Suicidal Behavior Questionnaire at 6months	6 months	Scale title: Suicidal Behavior Questionnaire. Minimum value = 0, maximum value = 92. Higher score indicates greater suicidal ideation; lower score indicates lower suicidal ideation.
Suicidal Ideation on Suicidal Behavior Questionnaire at 9months	9 months	Scale title: Suicidal Behavior Questionnaire. Minimum value = 0, maximum value = 92. Higher score indicates greater suicidal ideation; lower score indicates lower suicidal ideation.
Coping as Assessed With the DBT (Dialectical Behavior Therapy) Ways of Coping Checklist at 3months	3 months	Scale title: Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL) effective coping subscale. Minimum score: 0. Maximum score: 3. Higher score indicates more frequent use of adaptive coping strategies. Lower score indicates less frequent use of adaptive coping strategies.
Acceptability as Assessed by Positive Feedback on Written Satisfaction Evaluations Completed by Participants at Mid-point of Intervention	3 months	Acceptability to participants on the "Client Satisfaction Scale" created for this study. Participants rated group satisfaction on 11 items using 7point scale. Scale is scored by calculating mean of the 11 items. Scale range is 1-7. A higher score indicates greater satisfaction; a lower score indicates greater dissatisfaction, with 4 as the midpoint.
Coping as Assessed With the DBT Ways of Coping Checklist at 6 Months	6 months	Scale title: Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL) effective coping subscale. Minimum score: 0. Maximum score: 3. Higher score indicates more frequent use of adaptive coping strategies. Lower score indicates less frequent use of adaptive coping strategies.
Acceptability as Assessed by Positive Feedback on Written Satisfaction Evaluations Completed by Participants at Follow-up	9 months	Acceptability to participants on the "Client Satisfaction Scale" created for this study. Participants rated group satisfaction on 11 items using 7point scale. Scale is scored by calculating mean of the 11 items. Scale range is 1-7. A higher score indicates greater satisfaction; a lower score indicates greater dissatisfaction, with 4 as the midpoint.
Suicidal Ideation on Suicidal Behavior Questionnaire at 3months	3 months	Scale title: Suicidal Behavior Questionnaire. Minimum value = 0, maximum value = 92. Higher score indicates greater suicidal ideation; lower score indicates lower suicidal ideation.
Emotion Dysregulation as Assessed Using Difficulties in Emotion Regulation Scale at 9months	9 months	Scale title: Difficulties in Emotion Regulation Scale (DERS). Scale range: 36-180. Higher score indicates greater difficulties regulating emotions. Lower score indicates fewer difficulties regulating emotions.