Editorial: Dialectical Behavior Therapy: More Is Not Always Better When Different Is Required

Abstract

The study by Berk et al.¹ highlights potential trajectories of response and nonresponse to dialectical behavior therapy (DBT) as compared to individual and group supportive therapy (IGST) for teens with repeated self-harm and suicidal ideation. The authors also posit a testable function to predict responsiveness vs nonresponsiveness and provide critical guidance about when to reassess nonresponders and alter treatment. This is the fourth major article from a large federally funded, randomized controlled trial. Previous publications have highlighted superiority of DBT over IGST,² reported the moderating factors of treatment outcomes,³ and explored the mechanism of effectiveness for DBT in the treatment of suicidal ideation and self-harm.⁴ These articles provide useful information given the rising rates of suicidal ideation and suicide attempts among youth⁵ and recent research suggesting the powerful role of social media in supporting contagion of suicidal behavior among youth.