title: Outpatient Dialectical Behavior Therapy for Adolescents Engaged in Deliberate Self-Harm: Conceptual and Methodological Considerations.
abstract: The current review examines conceptual and methodological issues related to the use of dialectical behavior therapy for adolescents (DBT-A) in treating youth who engage in deliberate self-harm. A comprehensive review of the literature identified six studies appropriate for the review. Results indicated several inconsistencies and limitations across studies including the mixing of various forms of self-harm; variations in diagnostic inclusion/exclusion criteria, insufficient use of standardized self-harm outcome measures, variable lengths and intensity of provided treatment, and inadequate attention paid to DBT adherence. Each of these areas is reviewed along with a discussion of ways to improve the quality of future research.
authors.affiliation: Department of Social Work and Social Ecology, Loma Linda University, 1898 Business Center Drive, San Bernardino, CA 92408, USA.
authors.forename: Kimberly R
authors.initials: KR
authors.lastname: Freeman
authors.affiliation: Department of Social Work and Social Ecology, Loma Linda University, 1898 Business Center Drive, San Bernardino, CA 92408, USA.
authors.forename: Sigrid
authors.initials: S
authors.lastname: James
authors.affiliation: Department of Social Work and Social Ecology, Loma Linda University, 1898 Business Center Drive, San Bernardino, CA 92408, USA.
authors.forename: Keith P
authors.initials: KP
authors.lastname: Klein
authors.affiliation: Department of Psychology, Loma Linda University, 11130 Anderson Street, Loma Linda, CA 92350, USA.
authors.forename: Danessa
authors.initials: D
authors.lastname: Mayo
authors.affiliation: Department of Social Work and Social Ecology, Loma Linda University, 1898 Business Center Drive, San Bernardino, CA 92408, USA.
authors.forename: Susanne
authors.initials: S
authors.lastname: Montgomery
keywords: Adolescents; Deliberate self-harm; Dialectical behavior therapy; Methodology; Non-suicidal self-injury