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Dialectical Behavior Therapy for Suicidal Adolescent Inpatients: A Case Study Export

Clinical Case Studies, Vol. 1, No. 1. (1 January 2002), pp. 81-92.

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Dialectical behavior therapy (DBT) is an empirically supported treatment for chronically para-suicidal adult women with borderline personality disorder. I 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 para-suicidal 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 para-suicidal 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 s age theory of treatment, (b) the application of Linehan's biosocial theory, (c) use of behavioral analysis of para-suicidal behavior, and (d) dialectical treatment of this patient. Finally,1-year follow-up data on this patient are presented. 10.1177/1534650102001001007


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