Linehan (Linehan, Armstrong, Suarez, Allmon, & Heard, 1991) compared one group of 22 females (aged 18-45 years) with BPD who underwent DBT for 1 year and 22 matched females with BPD who underwent treatment as usual in the community. The subjects were assessed at pretreatment and at 4, 8, and 12 months posttreatment. There was a significant reduction in the frequency and medical risk of parasuicidal behavior among subjects who received DBT compared with subjects who received treatment as usual. The number of days of inpatient psychiatric hospitalization was fewer for subjects who received DBT than for controls, resulting in greater cost-effectiveness for DBT in spite of DBT intensive treatment design (that includes both individual and group psychotherapy, as well as accessibility for telephone consultation between sessions, for a one year period of time). While DBT was not shown differentially effective in improving patients' depression, hopelessness, suicide ideation, or reasons for living, the reduced parasuicidal behavior intensity and frequency, together with fewer psychiatric hospitalizations (lower cost and greater ability to sustain patients in the least restrictive environment) is impressive.
***Research showed that DBT did nothing to eliminate depression or hopelessness, suicide ideation or reasons for living? I thought that was what it was DESIGNED to do? It did, however, decrease hospital stays..
Well, from my personal point of view, it made my depression and SI/SIB WORSE! And I've NEVER been hospitalized for any "mental illness" Ever!