Psychological interventions for DBT-A suicide prevention with adolescents: a systematic review

Abstract

Suicide is a public health problem, being a challenge, early detection and care from evidence-based models. Objective:
To conduct a systematic review on the efficacy of dialectical-behavioral social-emotional skills training programs for
suicide prevention in students. The search was conducted in PUBMED, Web of Science, Taylor and Francis and PsycINFO
databases, search period: 01/01/2011 to 04/05/23, keywords in Spanish and English: case study, experimental, experimental,
clinical study, clinical studies, clinical trial, suicide, suicidal risk, suicidal attempt, suicidal ideation, suicidal behavior,
suicide planning, suicidal thought, socioemotional, dialectical behavior therapy, behavior therapy, behavior therapy, third
generation therapy, adolescent, teenager, teen, highschool students, secondary school student, middle school student, the
selection strategy was P-Population, I-Intervention, Comparison-Intervention and R-Results. Results: four researches on
interventions using Dialectical Behavior Therapy for adolescents for the prevention of suicide risk were selected, they
describe the efficacy of the intervention in the population of adolescents studied in clinical and educational contexts. They
reported that the changes in the patients were maintained from one to two years and decreased hospital admissions, reduction
of suicide risk and depressive symptomatology. More evidence and studies that conduct high quality randomized clinical
trials with longer follow-up and adherence to the DBT model are needed. There is scarce evidence of universal and selective
interventions, implemented in educational contexts and guided by the methodological and theoretical principles of DBT for
adolescents.