Table 33Summary evidence profile for psychological therapy programmes versus treatment as usual: self-harm and suicide-related outcomes

OutcomeSelf-harmSelf-harm and suicidal acts reported togetherSelf-harm with suicidal intentBeck suicidal ideation scaleSuicide attemptsNo. of A&E visits (presumed because of self-harm)
TherapyDBTDBTDBTDBTMBTMBT
Continuous data effect sizesWMD = −0.17 (−2.15, 1.82)*WMD (random effects) = −2.50 (−6.63, 1.62)*WMD = −0.2 (−0.55, 0.15)*SMD = −1.04 (−1.68, −0.4)*
 Quality of evidenceModerateVery lowVery lowModerate
 Number of studies/participants(K = 3; n = 185)(K = 2; n = 44)(K = 1; n = 44)(K = 2; n = 44)
 Forest plotPsych 01.07Psych 01.07Psych 01.07Psych 01.07
Continuous data effect sizes at follow-up 1SMD = −0.63 (−1.26, 0)* (5 years)SMD = −1.4 (−2.09, −0.7)* (5 years)
 Quality of evidenceModerateModerate
 Number of studies/participants(K = 1; n = 41)(K = 1; n = 41)
 Forest plotPsych 01.07Psych 01.07
TherapyDBT, MBTDBT, MBT (MBT only at follow-up)
Dichotomous data effect sizesRR = 0.54 (0.34, 0.86) (33% versus 58%)RR (random effects) = 0.37 (0.16, 0.87) (15% versus 37%)
 Quality of evidenceModerateModerate
 Number of studies/participants(K = 2; n = 96)(K = 4; n = 260)
 Forest plotPsych 01.8Psych 01.8
Dichotomous data at follow-up 1RR = 0.31 (0.14, 0.7) (23% versus 74%) (5 years)
 Quality of evidenceModerate
 Number of studies/participants(K = 1; n = 41)
 Forest plotPsych 01.8
*

Based on skewed data.

From: 5, PSYCHOLOGICAL AND PSYCHOSOCIAL TREATMENTS IN THE MANAGEMENT OF BORDERLINE PERSONALITY DISORDER

Cover of Borderline Personality Disorder
Borderline Personality Disorder: Treatment and Management.
NICE Clinical Guidelines, No. 78.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2009.
Copyright © 2009, The British Psychological Society & The Royal College of Psychiatrists.

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