Dialectical behavior therapy for adolescents (DBT-A): Outcomes among sexual minorities at high risk for suicide

Suicide Life Threat Behav. 2022 Jun;52(3):383-391. doi: 10.1111/sltb.12828. Epub 2022 Jan 12.

Abstract

The alarming rates and pervasiveness of suicidal and self-destructive behaviors (e.g., non-suicidal self-injury) among young sexual minorities represent a major public health concern. We set out to examine whether an empirically driven treatment for suicide and self-harm, dialectical behavior therapy for adolescents (DBT-A), provides benefits for adolescents who identify as gay, lesbian, bisexual, or questioning (LGBQ). LGBQ adolescents (n = 16) were compared with non-LGBQ peers (n = 23). Psychological measures were collected before and after participation in a comprehensive DBT-A program. LGBQ participants demonstrated significant improvements in emotion regulation, depression, borderline symptoms, and coping strategies; changes were comparable to their heterosexual peers.

Keywords: adolescents; bisexual; dialectical behavior therapy; emotion regulation; gay; lesbian; suicide; treatment.

MeSH terms

  • Adolescent
  • Behavior Therapy
  • Dialectical Behavior Therapy*
  • Female
  • Humans
  • Self-Injurious Behavior* / psychology
  • Self-Injurious Behavior* / therapy
  • Sexual Behavior
  • Sexual and Gender Minorities*
  • Suicidal Ideation
  • Suicide Prevention*
  • Suicide* / psychology