EFFECTIVENESS OF DIALECTICAL BEHAVIOR THERAPY (DBT) IN DEALING WITH SUICIDE ATTEMPTS
EFEKTIVITAS DIALECTICAL BEHAVIOR THERAPY (DBT) DALAM MENANGANI PERCOBAAN BUNUH DIRI
Keywords:
Dialectical Behavior Therapy, Suicide attempts, Effect size, Effectiveness, Meta-analysis
Abstract
Suicide attempts are a parameter of the signs of someone wanting to suicide. One of the causes of individuals attempting suicide is psychological problems, one of which is borderline personality disorder. One intervention that can be used in dealing with suicide attempts in patients is dialectical behavior therapy (DBT). Researchers found inconsistencies in the effectiveness of DBT in dealing with suicide attempts. This made the researchers test the effect size of DBT interventions on suicide attempts using the meta-analysis method, so the purpose of this study was to increase statistical power in the analysis of dialectical behavior therapy (DBT) on suicide attempts. The results of this study showed that the effect of DBT intervention in dealing with suicide attempts was in the low category, -0.141. Several causes of low effect size have been explained in this study, one of which is the influence of variables outside the study that cannot be controlled (noise), thus causing a low effect size. The implication of this study is that insufficiently specific participant criteria can affect DBT interventions in dealing with suicide attempt behavior.
References
Asarnow, J. R., Hughes, J. L., Babeva, K. N., & Sugar, C. A. (2017). Cognitive-behavioral family treatment for suicide attempt prevention: a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 506-514.
Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2021). Introduction to meta-analysis. John Wiley & Sons.
CNN Indonesia. (2023). Siswa SD di Banyuwangi Meninggal, Berapa Angka Bunuh Diri pada Anak. https://www.cnnindonesia.com/gaya-hidup/20230303110056-255-920267/siswa-sd-di-banyuwangi-meninggal-berapa-angka-bunuh-diri-pada-anak.
Cooper, H., Hedges, L. V., & Valentine, J. C. (Eds.). (2019). The handbook of research synthesis and meta-analysis. Russell Sage Foundation.
Decker, S. E., Adams, L., Watkins, L. E., Sippel, L. M., Presnall-Shvorin, J., Sofuoglu, M., & Martino, S. (2019). Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for veterans with suicidal ideation: pilot. Behavioural and cognitive psychotherapy, 47(5), 616-621.
DeCou, C. R., Comtois, K. A., & Landes, S. J. (2019). Dialectical behavior therapy is effective for the treatment of suicidal behavior: A meta-analysis. Behavior therapy, 50(1), 60-72.
Goldstein, T. R., Fersch-Podrat, R. K., Rivera, M., Axelson, D. A., Merranko, J., Yu, H., ... & Birmaher, B. (2015). Dialectical behavior therapy for adolescents with bipolar disorder: results from a pilot randomized trial. Journal of child and adolescent psychopharmacology, 25(2), 140-149.
Hegerl, U. (2016). Prevention of suicidal behavior. Dialogues in clinical neuroscience, 18(2), 183-190.
Katz, L. Y., Cox, B. J., Gunasekara, S., & Miller, A. L. (2004). Feasibility of dialectical behavior therapy for suicidal adolescent inpatients. Journal of the American Academy of Child & Adolescent Psychiatry, 43(3), 276-282.
Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., ... & Bastian, L. A. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior therapy, 32(2), 371-390.
Martin, A., Oehlman, M., Hawgood, J., & O’Gorman, J. (2023). The role of impulsivity and self-control in suicidal ideation and suicide attempt. International journal of environmental research and public health, 20(6), 5012.
McCauley, E., Berk, M. S., Asarnow, J. R., Adrian, M., Cohen, J., Korslund, K., ... & Linehan, M. M. (2018). Efficacy of dialectical behavior therapy for adolescents at high risk for suicide: a randomized clinical trial. JAMA psychiatry, 75(8), 777-785.
McKeon, R. (2022). Suicidal behavior (Vol. 14). Hogrefe Publishing GmbH.
Mehlum, L., Ramleth, R. K., Tørmoen, A. J., Haga, E., Diep, L. M., Stanley, B. H., ... & Grøholt, B. (2019). Long term effectiveness of dialectical behavior therapy versus enhanced usual care for adolescents with self‐harming and suicidal behavior. Journal of Child Psychology and Psychiatry, 60(10), 1112-1122.
Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., ... & Grøholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: a randomized trial. Journal of the American Academy of child & adolescent psychiatry, 53(10), 1082-1091.
Onie, S., Vina, A., Taufik, K., Abraham, J., Setiyawati, D., Colucci, E., ... & Larsen, M. E. (2023). Indonesian first national suicide prevention strategy: key findings from the qualitative situational analysis. The Lancet Regional Health-Southeast Asia, 16.
Navarro-Haro, M. V., Botella, C., Guillen, V., Moliner, R., Marco, H., Jorquera, M., ... & Garcia-Palacios, A. (2018). Dialectical behavior therapy in the treatment of borderline personality disorder and eating disorders comorbidity: A pilot study in a naturalistic setting. Cognitive Therapy and Research, 42, 636-649.
Oppenauer, C., Sprung, M., Gradl, S., & Burghardt, J. (2023). Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD): transportability to everyday clinical care in a residential mental health centre. European journal of psychotraumatology, 14(1), 2157159.
Pasieczny, N., & Connor, J. (2011). The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial. Behaviour research and therapy, 49(1), 4-10.
Pistorello, J., Fruzzetti, A. E., MacLane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: a randomized clinical trial. Journal of consulting and clinical psychology, 80(6), 982.
Spiegler, M. D., & Guevremont, D. C. (2010). Contemporary behavior therapy. Cengage Learning.
Van den Bosch, L. M., Koeter, M. W., Stijnen, T., Verheul, R., & van den Brink, W. (2005). Sustained efficacy of dialectical behaviour therapy for borderline personality disorder. Behaviour research and therapy, 43(9), 1231-1241.
Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2021). Introduction to meta-analysis. John Wiley & Sons.
CNN Indonesia. (2023). Siswa SD di Banyuwangi Meninggal, Berapa Angka Bunuh Diri pada Anak. https://www.cnnindonesia.com/gaya-hidup/20230303110056-255-920267/siswa-sd-di-banyuwangi-meninggal-berapa-angka-bunuh-diri-pada-anak.
Cooper, H., Hedges, L. V., & Valentine, J. C. (Eds.). (2019). The handbook of research synthesis and meta-analysis. Russell Sage Foundation.
Decker, S. E., Adams, L., Watkins, L. E., Sippel, L. M., Presnall-Shvorin, J., Sofuoglu, M., & Martino, S. (2019). Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for veterans with suicidal ideation: pilot. Behavioural and cognitive psychotherapy, 47(5), 616-621.
DeCou, C. R., Comtois, K. A., & Landes, S. J. (2019). Dialectical behavior therapy is effective for the treatment of suicidal behavior: A meta-analysis. Behavior therapy, 50(1), 60-72.
Goldstein, T. R., Fersch-Podrat, R. K., Rivera, M., Axelson, D. A., Merranko, J., Yu, H., ... & Birmaher, B. (2015). Dialectical behavior therapy for adolescents with bipolar disorder: results from a pilot randomized trial. Journal of child and adolescent psychopharmacology, 25(2), 140-149.
Hegerl, U. (2016). Prevention of suicidal behavior. Dialogues in clinical neuroscience, 18(2), 183-190.
Katz, L. Y., Cox, B. J., Gunasekara, S., & Miller, A. L. (2004). Feasibility of dialectical behavior therapy for suicidal adolescent inpatients. Journal of the American Academy of Child & Adolescent Psychiatry, 43(3), 276-282.
Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., ... & Bastian, L. A. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior therapy, 32(2), 371-390.
Martin, A., Oehlman, M., Hawgood, J., & O’Gorman, J. (2023). The role of impulsivity and self-control in suicidal ideation and suicide attempt. International journal of environmental research and public health, 20(6), 5012.
McCauley, E., Berk, M. S., Asarnow, J. R., Adrian, M., Cohen, J., Korslund, K., ... & Linehan, M. M. (2018). Efficacy of dialectical behavior therapy for adolescents at high risk for suicide: a randomized clinical trial. JAMA psychiatry, 75(8), 777-785.
McKeon, R. (2022). Suicidal behavior (Vol. 14). Hogrefe Publishing GmbH.
Mehlum, L., Ramleth, R. K., Tørmoen, A. J., Haga, E., Diep, L. M., Stanley, B. H., ... & Grøholt, B. (2019). Long term effectiveness of dialectical behavior therapy versus enhanced usual care for adolescents with self‐harming and suicidal behavior. Journal of Child Psychology and Psychiatry, 60(10), 1112-1122.
Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., ... & Grøholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: a randomized trial. Journal of the American Academy of child & adolescent psychiatry, 53(10), 1082-1091.
Onie, S., Vina, A., Taufik, K., Abraham, J., Setiyawati, D., Colucci, E., ... & Larsen, M. E. (2023). Indonesian first national suicide prevention strategy: key findings from the qualitative situational analysis. The Lancet Regional Health-Southeast Asia, 16.
Navarro-Haro, M. V., Botella, C., Guillen, V., Moliner, R., Marco, H., Jorquera, M., ... & Garcia-Palacios, A. (2018). Dialectical behavior therapy in the treatment of borderline personality disorder and eating disorders comorbidity: A pilot study in a naturalistic setting. Cognitive Therapy and Research, 42, 636-649.
Oppenauer, C., Sprung, M., Gradl, S., & Burghardt, J. (2023). Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD): transportability to everyday clinical care in a residential mental health centre. European journal of psychotraumatology, 14(1), 2157159.
Pasieczny, N., & Connor, J. (2011). The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial. Behaviour research and therapy, 49(1), 4-10.
Pistorello, J., Fruzzetti, A. E., MacLane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: a randomized clinical trial. Journal of consulting and clinical psychology, 80(6), 982.
Spiegler, M. D., & Guevremont, D. C. (2010). Contemporary behavior therapy. Cengage Learning.
Van den Bosch, L. M., Koeter, M. W., Stijnen, T., Verheul, R., & van den Brink, W. (2005). Sustained efficacy of dialectical behaviour therapy for borderline personality disorder. Behaviour research and therapy, 43(9), 1231-1241.
Published
2025-04-22
How to Cite
Mufidetul Hasanah, & Ananta Yudiarso. (2025). EFFECTIVENESS OF DIALECTICAL BEHAVIOR THERAPY (DBT) IN DEALING WITH SUICIDE ATTEMPTS: EFEKTIVITAS DIALECTICAL BEHAVIOR THERAPY (DBT) DALAM MENANGANI PERCOBAAN BUNUH DIRI . SOSIOEDUKASI : JURNAL ILMIAH ILMU PENDIDIKAN DAN SOSIAL, 14(1), 119-130. https://doi.org/10.36526/sosioedukasi.v14i1.5200
Section
Artikel
.png)
