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Abstract

Dialectical behavior therapy (DBT) is an empirically supported treatment for chronically parasuicidal adult women with borderline personality disorder. It has recently been modified for use with other psychiatric disorders and populations. In this article, the authors briefly review the theoretical and research basis for the use of DBT with parasuicidal adolescent inpatients, and a case study is presented. The case study includes a DBT case formulation, and its application to the inpatient management of a chronically parasuicidal adolescent is described. This adolescent had significant difficulties engaging in treatment and required use of DBT commitment strategies, which are reviewed. The authors also describe (a) the use of a stage theory of treatment, (b) the application of Linehan's biosocial theory, (c) use of behavioral analysis of parasuicidal behavior, and (d) dialectical treatment of this patient. Finally, 1-year follow-up data on this patient are presented.

Keywords

dialectical behavior therapy suicide adolescents hospitilization

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References

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Dialectical Behavior Therapy for Suicidal Adolescent Inpatients

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