Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Hope for the Chronically Suicidal Patient: Evaluating the Clinical and Health Services Impact of Dialectical Behaviour Therapy in Individuals With Borderline Personality Disorder
Brief Summary: The aim of this study is to evaluate the clinical and cost effectiveness of Dialectical Behavior Therapy (DBT) for chronically suicidal behavior in individuals diagnosed with borderline personality disorder (BPD). Recent investigations of DBT have yielded positive results and have challenged the widely held opinion that the prognosis for this condition is poor. This study will consist of a two-arm randomized controlled trial that will compare DBT with a General Psychiatric Management (GPM) condition consisting of a structured algorithmic medication intervention plus psychosocial counseling. One-hundred and eighty participants will be randomly assigned to either DBT or to the GPM condition. Clinical outcomes will be assessed by changes in: (1) parasuicidal behaviour; (2) treatment retention; (3) psychiatric symptomatology; (4) anger expression; (5) social functioning and (6) health status. Cost outcomes will include an analysis of health service utilization. Clinical and cost evaluations will occur at 4-month intervals over the course of the one-year treatment and over a two-year follow-up.


Options:
A: Arm Label: General Psychiatric Management (GPM; Gunderson & Links, 2008); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Psychiatric Management | Arm Label: GPM plus Motive-Oriented Therapeutic Relationship; Type: EXPERIMENTAL; Interventions: Behavioral: Psychiatric Management, Behavioral: Motive-oriented therapeutic relationship/Plan Analysis | Intervention Type: BEHAVIORAL; Name: Psychiatric Management; Assigned to Arm(s): GPM plus Motive-Oriented Therapeutic Relationship, General Psychiatric Management (GPM; Gunderson & Links, 2008) | Intervention Type: BEHAVIORAL; Name: Motive-oriented therapeutic relationship/Plan Analysis; Assigned to Arm(s): GPM plus Motive-Oriented Therapeutic Relationship
B: Arm Label: Individual supportive therapy; Type: ACTIVE_COMPARATOR; Interventions: Other: Baseline evaluation with a psychiatrist, Other: Individual supportive therapy, Other: Evaluations with a psychiatrist | Arm Label: Cognitive behavioural group therapy; Type: EXPERIMENTAL; Interventions: Other: Baseline evaluation with a psychiatrist, Other: Cognitive behavioural group therapy, Other: Evaluations with a psychiatrist | Intervention Type: OTHER; Name: Baseline evaluation with a psychiatrist; Assigned to Arm(s): Cognitive behavioural group therapy, Individual supportive therapy | Intervention Type: OTHER; Name: Individual supportive therapy; Assigned to Arm(s): Individual supportive therapy | Intervention Type: OTHER; Name: Cognitive behavioural group therapy; Assigned to Arm(s): Cognitive behavioural group therapy | Intervention Type: OTHER; Name: Evaluations with a psychiatrist; Assigned to Arm(s): Cognitive behavioural group therapy, Individual supportive therapy
C: Arm Label: Zero Suicide Quality Improvement (ZSQI); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Zero Suicide Quality Improvement | Arm Label: Stepped Care for Suicide Prevention; Type: EXPERIMENTAL; Interventions: Behavioral: Stepped Care for Suicide Prevention, Behavioral: Zero Suicide Quality Improvement | Intervention Type: BEHAVIORAL; Name: Stepped Care for Suicide Prevention; Assigned to Arm(s): Stepped Care for Suicide Prevention | Intervention Type: BEHAVIORAL; Name: Zero Suicide Quality Improvement; Assigned to Arm(s): Stepped Care for Suicide Prevention, Zero Suicide Quality Improvement (ZSQI)
D: Arm Label: A; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: General Psychiatric Management | Arm Label: 2; Type: EXPERIMENTAL; Interventions: Behavioral: Dialectical Behaviour Therapy | Intervention Type: BEHAVIORAL; Name: General Psychiatric Management; Assigned to Arm(s): A | Intervention Type: BEHAVIORAL; Name: Dialectical Behaviour Therapy; Assigned to Arm(s): 2

Answer: D