Dialectical Behavior Therapy for Suicidal Adolescent Inpatients
Bibliographic record
Abstract
Dialectical behavior therapy (DBT) is an empirically supported treatment for chronically parasuicidal adult women with borderline personality disorder. It has recently been modified for use with other psychiatric disorders and populations. In this article, the authors briefly review the theoretical and research basis for the use of DBT with parasuicidal adolescent inpatients, and a case study is presented. The case study includes a DBT case formulation, and its application to the inpatient management of a chronically parasuicidal adolescent is described. This adolescent had significant difficulties engaging in treatment and required use of DBT commitment strategies, which are reviewed. The authors also describe (a) the use of a stage theory of treatment, (b) the application of Linehan's biosocial theory, (c) use of behavioral analysis of parasuicidal behavior, and (d) dialectical treatment of this patient. Finally, 1-year follow-up data on this patient are presented.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".