By Alec L. Miller PsyD, Jill H. Rathus Phd, Marsha M. Linehan PhD ABPP, Charles R. Swenson MD
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Extra info for Dialectical Behavior Therapy with Suicidal Adolescents
2 presents a detailed list of the evidence-based risk factors for suicidal attempts and completions. Many of these behaviors apply to both suicidal adolescents and adults; each factor specific to adolescents has been marked with an asterisk (*). 2. The second table, however, offers a more detailed picture of personal, environmental, and behavioral characteristics. Those adolescents at high risk tend to have multiple problems across cognitive, emotional, interpersonal, and behavioral domains of functioning.
These high rates of noncompliance with treatment further hinder efforts to develop and evaluate psychological interventions for this group. In the next chapter we turn to the treatment outcome research for suicidal behaviors. THE OVERLAP BETWEEN SUICIDAL BEHAVIORS AND BPD IN ADOLESCENTS As noted earlier, the diagnosis of BPD in adolescents has historically been a controversial issue. In the recent empirical literature, however, there appears to be initial support for the existence of BPD in adolescents.
1988; Runeson & Beskow, 1991). , 1994). Brent et al. (1993a) compared adolescent inpatients who had attempted suicide with never-suicidal inpatient controls and found that the suicidal clients were more likely than the controls to have personality disorders or features of such disorders (81% vs. 58%, respectively), particularly those of the borderline type (32% vs. 10%). Those who had attempted suicide showed greater severity of borderline behavioral criteria even after suicidality was removed as a criterion.
Dialectical Behavior Therapy with Suicidal Adolescents by Alec L. Miller PsyD, Jill H. Rathus Phd, Marsha M. Linehan PhD ABPP, Charles R. Swenson MD