Chelsey R Wilks1, Anita Lungu2, Sin Yee Ang3, Brandon Matsumiya4, Qingqing Yin5, Marsha M Linehan6. 1. University of Washington, 3917 University Way, Seattle, WA 98195, USA. Electronic address: wilksc@uw.edu. 2. Lyra Health, 205 Park Rd, Burlingame, CA 98010, USA. Electronic address: anita@lyrahealth.com. 3. University of Washington, 3917 University Way, Seattle, WA 98195, USA. Electronic address: sinyee@u.washington.edu. 4. University of Central Florida, 4111 Pictor Ln, Orlando, FL 32816, USA. Electronic address: bmatsu@Knights.ucf.edu. 5. University of Washington, 3917 University Way, Seattle, WA 98195, USA. Electronic address: qyin1209@u.washington.edu. 6. University of Washington, 3917 University Way, Seattle, WA 98195, USA. Electronic address: linehan@uw.edu.
Abstract
BACKGROUND: Given that alcohol misuse elevates risk of suicide death among ideators, the paucity of treatment outcome research for individuals presenting with both suicide ideation and problem drinking is particularly troubling. Dialectical behavior therapy (DBT) skills training, which effectively targets behaviors associated with emotion dysregulation including addictive and suicidal behaviors, provides a fitting model amenable to computerization. As stigma and scarcity stand as potential barriers to treatment, online dissemination platforms provide means for efficient treatment delivery that can augment the utility of suitable interventions. This pilot RCT sought to evaluate the feasibility, acceptability, and preliminary efficacy of an Internet-delivered DBT skills training intervention (iDBT-ST) for suicidal individuals who engage in heavy episodic drinking METHODS:Participants (N = 59) were randomized to receive iDBT-ST immediately or after an 8-week waiting period. Clinical outcomes were suicide ideation, alcohol use, and emotion dysregulation. RESULTS: Participants on average saw a significant reduction in all outcomes over the four-month study period. Compared to waitlist controls, individuals who received iDBT-ST immediately showed faster reductions in alcohol consumption. CONCLUSIONS: Preliminary results suggest that iDBT-ST may be a viable resource for the high-risk and underserved group represented in this study, and pathways for future development are suggested. LIMITATIONS: There was difficulty retaining and engaging participants due to technological barriers.
RCT Entities:
BACKGROUND: Given that alcohol misuse elevates risk of suicide death among ideators, the paucity of treatment outcome research for individuals presenting with both suicide ideation and problem drinking is particularly troubling. Dialectical behavior therapy (DBT) skills training, which effectively targets behaviors associated with emotion dysregulation including addictive and suicidal behaviors, provides a fitting model amenable to computerization. As stigma and scarcity stand as potential barriers to treatment, online dissemination platforms provide means for efficient treatment delivery that can augment the utility of suitable interventions. This pilot RCT sought to evaluate the feasibility, acceptability, and preliminary efficacy of an Internet-delivered DBT skills training intervention (iDBT-ST) for suicidal individuals who engage in heavy episodic drinking METHODS:Participants (N = 59) were randomized to receive iDBT-ST immediately or after an 8-week waiting period. Clinical outcomes were suicide ideation, alcohol use, and emotion dysregulation. RESULTS:Participants on average saw a significant reduction in all outcomes over the four-month study period. Compared to waitlist controls, individuals who received iDBT-ST immediately showed faster reductions in alcohol consumption. CONCLUSIONS: Preliminary results suggest that iDBT-ST may be a viable resource for the high-risk and underserved group represented in this study, and pathways for future development are suggested. LIMITATIONS: There was difficulty retaining and engaging participants due to technological barriers.
Authors: R Martin-Willett; Z McCormick; W Newman; L D Larsen; M A Ortiz Torres; L C Bidwell Journal: J Biomed Inform Date: 2019-04-22 Impact factor: 6.317
Authors: Katrina G Witt; Sarah E Hetrick; Gowri Rajaram; Philip Hazell; Tatiana L Taylor Salisbury; Ellen Townsend; Keith Hawton Journal: Cochrane Database Syst Rev Date: 2021-04-22
Authors: Barbara Stanley; Gonzalo Martínez-Alés; Ilana Gratch; Mina Rizk; Hanga Galfalvy; Tse-Hwei Choo; J John Mann Journal: J Psychiatr Res Date: 2020-12-03 Impact factor: 4.791
Authors: Gabrielle Humphreys; Rebecca Evans; Harriet Makin; Richard Cooke; Andrew Jones Journal: J Med Internet Res Date: 2021-02-09 Impact factor: 5.428
Authors: Ole Jakob Storebø; Jutta M Stoffers-Winterling; Birgit A Völlm; Mickey T Kongerslev; Jessica T Mattivi; Mie S Jørgensen; Erlend Faltinsen; Adnan Todorovac; Christian P Sales; Henriette E Callesen; Klaus Lieb; Erik Simonsen Journal: Cochrane Database Syst Rev Date: 2020-05-04
Authors: Gabrielle S Ilagan; Evan A Iliakis; Chelsey R Wilks; Ipsit V Vahia; Lois W Choi-Kain Journal: Borderline Personal Disord Emot Dysregul Date: 2020-06-16