Reducing the Risk of Suicide in Individuals with BPD

Apr. 08, 2015
Marsha Linehan   Marsha Linehan

NAMI is pleased to announce that Dr. Marsha Linehan will be one of the outstanding speakers who will join 2,000 NAMI members at the 2015 NAMI National Convention in San Francisco this July. Scheduled to speak on Monday, July 6 in the “Advancing Recovery” track, Dr. Linehan will share her latest research on dialectical behavior therapy (DBT), including the results of her latest study.

In this study, Dr. Linehan and coauthors set out to evaluate the importance of the skills training component by comparing three treatment groups: skills training plus case management to replace individual therapy; DBT individual therapy plus activities group to replace skills training so therapists instead focused on the skills patients already had; and standard DBT, which included skills training and individual therapy.

The authors found that all three treatments reduced suicide attempts, suicide ideation, the severity of intentional self-injury, use of crisis services due to suicidality and improved reasons for living. The results also showed that inverventions that include DBT skills training are more effective thatn DBT without skills training. Read the full study.

Comments
Diana Heineck
In the county in which I live they have NO DBT programs or certified providers. I grew up in the county mental healthcare system. I was diagnosed with AD/AD and now BPD and I CAN'T GET THE HELP I NEED! Even though I am on a program that is supposed to provide me with supportive services. I keep getting the run-around and they refuse to contract out or remit for my meditation instruction a whole $160 a month. However, I am on disability. I am returning to school at 53, I have had stable housing for a number of years. I have done everything asked of me and I would think "best practices" for my diagnoses would be a non-issue. Frustrated to tears!
11/17/2015 4:18:36 PM

mitzi spence
What were your distinct symptoms and how was anyone 100% sure of your diagnosis? Not the same,but I need to know what and how depression and psychosis(hearing voices) from being alone is 100% diagnosed.
6/13/2015 1:31:32 PM

Rachel Gill
DBT saved my life and Marsha Linehan's personal story of recovery from BPD, gave me hope and role model for my own recovery. I was homeless, struggling with suicide, and self-harming regularly before I found DBT. I have been in a comprehensive DBT program now for 5 years and am not only building a life worth living, but am about to graduate from college with a bachelor of science in interdisciplinary social and behavioral sciences and am going on to graduate school to become a psychologist and a DBT researcher just like Marsha. DBT works!
5/3/2015 7:38:20 AM

Gregorio Lozano III
At Lori Bres, "She presents herself well, but when I posted a question on Linked In (As a person with BPD, there seems to be some similarities to Austism. What do you think?)instead of giving an intelligent answer, she attacked me personally. She should not be on any forum, national or otherwise."

I support your notion, perhaps she shouldn't be on a forum where warmth and support are needed for the other members. I just want to offer a possible explanation. I have plenty of education WITH experience to have seen very brilliant researchers that are very successful, and don't necessarily doubt they have good intentions. However, that does not mean that they are good clinicians as they may lack the empathy, warmth, and understanding that's so required in helping others. People that go in the helping profession realize that they don't have what it takes, or, was not what they expected. These clinicians are those that instead, go into teaching, research, or managerial positions since doing f/f work with clients was not in their cards after all.

Or, she may just have been having a bad day; which shouldn't be an excuse, however.

Hope this helps,
5/2/2015 3:19:56 PM

Heidi Sanchez
I was diagnosed with BPD nearly 2 years ago at the age of 30. I am the mother of 4 children and have a wonderfully supportive husband who has stuck by my through thick and thin, and with BPD I have made things pretty thin at times. After two hospitalizations back to back I was referred to a DBT group close by. I can not stress enough how much this has changed my life. Before I could barely hold things together, I could hardly function as a person let alone a mother, today I am a highly functioning individual. I am a good mother. I can run my household. I am not suicidal. I have stopped benzodiazepines. I meditate daily. My life has changed for the better because of this amazing woman and her research. I wish this were available to all who need it.
4/30/2015 11:31:04 PM

Sharon
Actually when I am stable, I keep the "I can suicide whenever it gets too ad." I do use DBT methods,but the piling on year after year or manage it from age 20 and into retirement, I like to keep that in my back pocket to pull out when I need to (not that I'm plannin on it) but I feel it gives me some control.
4/30/2015 7:54:37 PM

Emily
What a hopeful development in the field! I researched predictors of suicide completion in the BPD population but am very glad to see the strides made in treatment and reduction of risk.
4/24/2015 10:58:21 AM

Stephanie veenendaal
I'm about to start this treatment.. Thank you for your comments... I have more Hope, now, that the DBT will be effective.
4/12/2015 7:52:26 PM

Julie
Lori Bres, are you referring to Dr. Linehan? Do you actually have any idea who she is?! To say she "should not be on any forum, national or otherwise" is completely naive/ignorant. Dr. Linehan's work is world renown and saving lives everyday. For the record, "autism" and Borderline Personality Disorder are entirely different conditions.
4/11/2015 2:56:23 AM

Nathan Jennings
i believe interventions are the key.
4/10/2015 9:44:08 PM

Nancy
I have BPD. Life at times has seemed unbareable. I finally was diagnosed with with BPD a little over a year ago and the moment I was diagnosed I started DBT. DBT and the concept of mindfulness really did save my life. I didn't like the group sessions and discontinued them, however I continued to see a good therapist twice a week for two hour sessions and I worked with her on DBT skills. After a year my life became significantly better and has remained that way. DBT is awesome!
4/10/2015 8:34:54 AM

Lori Bres
She presents herself well, but when I posted a question on Linked In (As a person with BPD, there seems to be some similarities to Austism. What do you think?)instead of giving an intelligent answer, she attacked me personally. She should not be on any forum, national or otherwise.
4/10/2015 12:34:08 AM

Beth
Why was this study only done with females, I wonder?
4/10/2015 12:01:06 AM

Batina wesson
This is so awesomely true I'm currently in our 6 out of 10 Grounded Group CBT/DBT training and we have made major break throughs at Pine Rest Christian Mental Health Services in Urbandale Iowa with Dr Heidi Veermeer-Quist learning to grow and gardening our lives one day at a time and enjoying one moment at a time as we are allowing mindfulness to become a huge benefactor in our living and thriving!
4/9/2015 8:16:14 PM

Christine Shay
This is great news for my daughter. We live in a very small town and state and are having no luck with therapy she keeps going to the acute hospital for short traumatic stays and then gets out self harms or tries to kill herself. She is getting out soon from her 15th hospital stay in one year. I will pass this on to her team where we hope they will be able to help her this time. She has been in and out of mental health treatment since she was 8 and was just now diagnosed with BPD. I am looking forward to getting the word out about this wonderful new study.
4/9/2015 7:02:41 PM

Rebecca Tedstone
my diagnosis of bpd and then referral for dbt was the beginning of my recovery. The therapy helped to change my life and I began to understand myself much more. I am now a fully functioning member of society and bringing up two fabulous children. A totally different person. I wish everyone with this diagnosis had access to this treatment.
4/9/2015 5:57:36 PM