CompletedNot Applicable

DBT for Chronically Self-harming Individuals With BPD: Evaluating the Clinical & Cost Effectiveness of a 6 mo. Treatment

Canada240 participantsStarted 2015-02

Plain-language summary

Standard one-year dialectical behaviour therapy (DBT), which has four components, is an effective treatment for people with borderline personality disorder. However, such DBT programs are in short supply and costly, resulting in long wait lists. In practice, DBT is often reduced in length or intensity. This study will determine whether shorter DBT treatment is clinically effective and cost-effective. In total, 240 self-harming BPD patients will be randomly assigned to receive either 1 year or 6 months of DBT, with follow-up lasting two years. Rates of suicidal and self-harm behaviours, use of health care and general psychological functioning will be examined.

Who can participate

Age range18 Years – 65 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Meets DSM-IV criteria for Borderline Personality Disorder. * Has had at least 2 self-harm episodes (either suicidal or non-suicidal) in the past 5 years, including at least 1 in the past 8 weeks. * Proficient in English * Provides informed consent to participate in the study. * Absence of 8 or more standard weeks of DBT in the past year (individual and group therapy components). * has had either Ontario Health Insurance Plan (OHIP) coverage or BC Medical Services Plan (MSP) health insurance for 1 year or more * Absence of a pending criminal court case or charges. * Has been a resident of Ontario or British Columbia for all of the past 12 months, at least. * Lives in the Greater Toronto Area/Greater Vancouver Area Exclusion Criteria: * Meets the DSM-IV criteria for bipolar disorder I, dementia, or a psychotic disorder other than psychotic disorder NOS * IQ less than 70 * Chronic or serious physical health problem requiring hospitalization within the next year (e.g., cancer) * Plans to move to a province other than Ontario or BC in the next 2 years.

What they're measuring

Change in frequency of self-harm (suicidal and non-suicidal) behaviours over time as measured by the Suicide Attempt Self-Injury Interview (SASII)

Timeframe: Administered pre-treatment and every three months until 24 months

Trial details

NCT IDNCT02387736

SponsorCentre for Addiction and Mental Health

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2019-07