Depression |
Okolie et al. (2017) |
21 |
359 |
RCT / QES |
PST / PATH / HGT |
ST, ST-CI, personalized treatment plan |
SI / Suicide risk |
HDRS suicide item / CSD / Self-reported suicidal ideation |
Significantly greater reductions in SI in older adults with MDD and executive dysfunction after 12 weekly sessions of PST at 12 and 36 weeks post-treatment vs ST. |
PST vs ST: 12 weeks (OR: 0.50, Z=−2.16, p=0.031) and 36 weeks (OR: 0.50, Z=−1.96, p=0.05). |
Cuijpers et al. (2013) |
13 |
616 |
RCT |
CBT / MBCT |
CAU, EHC |
SI / Suicide risk |
BSS / SRM |
Only three randomized controlled studies on depression in adults were identified in which suicide was used as a clearly specified outcome measure. The combined results indicated very small and nonsignificant effects on suicidal tendencies, but there was limited statistical power to consider this as the true effect. The quality of the included studies was suboptimal. |
Hedges' g=0.12 (95% CI: -0.20 - 0.44), not statistically significant. Post hoc power calculation, g=0.47 |
|
Schmelefske et al. (2020) |
13 |
627 |
Pre-post studies |
MBCT |
CPE / TAU / WL / CBASP |
SI |
SCS / BSS / BDI-II item 9 / HDRS item 3 / IDS-SR |
In studies utilizing samples of individuals with depressive disorders (k=5), MBIs were found to have a significant moderate effect. |
Hedges´ g=0,45 (IC del 95% [0,28, 0,62], p<0,001). |
CI, Confidence interval; F, F-statistic; g, Hedges ́ g; OR, Odds ratio; p, p-value; QES, Quasi-experimental studies; QES, Quasi-experimental studies; RCT, Randomized Controlled Trial; RCT, Randomized Controlled Trial; RR, Relative risk; SMD, Standardized Mean Difference; Z, Z- value.
Assessment tools: BDI, Beck Depression Inventory; BSS, Beck Scale for Suicide Ideation; CSD, Cornell Scale for Depression; HDRS, Hamilton Depression Rating Scale; IDS-SR, Inventory of Depressive Symptomology Self-Report; SCS, Suicidal Cognitions Scale; SI, Suicide Ideation; SRM, Suicide Risk Module of the MINI.
Psychotherapy: CAU, Care-as-usual; CBASP, Cognitive Behavioral Analysis System of Psychotherapy; CBT, Cognitive Behavioral Therapy; EHC, Existential Humanistic Cognitive Therapy; HGT, Humor Group Therapy; MBIs, Mindfulness-based Interventions; MBCT, Mindfulness- based Cognitive Therapy; PATH, Problem Adaptation Therapy; PST, Problem Solving Therapy; ST-CI, Supportive Therapy for Cognitively Impaired Older Adults; ST, Supportive Therapy; TAU, Treatment-as-usual; WL, Wait-list.
Table 4: Characteristics of Borderline Personality Disorder Studies.
Diagnosis |
Author (year) |
No. of studies |
No. of patients |
Primary study design |
Psychotherapy |
Control |
Suicidal outcome |
Outcome measure |
Summary of results |
Effect size (SMD/OR/RR, 95% CI) |
BPD |
Rameckers et al. (2021) |
87 |
5881 |
RCT, Open trials, NRCT |
DBT / DBTmin / SchT / MBT / PDT / CBT / TFP / Mixed therapies / Other (CAT, IT, CCT, SCM, GPM, TC, DDP) |
TAU / CTBE / Active treatment |
Suicidality/Self-harm |
NA |
With large effect sizes, SchT and MBT were strongly associated with greater reductions in suicidal tendencies compared to the average treatment effect. |
Effect size in suicidality/self-harm |
Stoffers-Winterling et al. (2022) |
32 |
1870 |
RCT |
DBT / MBT / IPT-BPD / CBT / DDP |
TAU / WL / Supportive treatment / Clinical management |
Self-harm / Suicide-related outcomes (Suicidal ideation and suicidal behavior) |
NA |
Statistically significant effects of low overall certainty were observed for self-harm in DBT and for self-harm and suicide outcomes in MBT. |
DBT self-harm: (SMD −0.54, 95%CI -0.92 to -0.16, P=0.006, n=3 studies, n=110 participants) |
|
Cristea et al. (2017) |
33 |
2256 |
RCT |
DBT-C / DBT / PFPR / IGP |
WL / CVT / TAU |
Self-harm/ Parasuicidal behavior/ Suicide |
NA |
In subgroup analysis within the category of all bordeline-relevant outcomes (BPD symptoms, self-harm and parasuicidal behavior, and suicide), DBT and PDT were more effective than control interventions. |
DBT: g=0.34 (IC95% 0.15-0.53), NNT=5.26, n=9 studies |
|
Kröger et al. (2010) |
16 |
794 |
RCT, Neither randomized nor controlled |
DBT |
ST / TFP / CTBE / TAU |
Suicidal and self-injurious behaviors |
LPC/OAS-M/SASII/Rate of patients (self-harm and suicide attempts) |
A moderate effect size was found for suicidal and self-injurious behaviors when including a moderator for RCTs with treatments specific to BPD. |
g=0,56, CI 95% [0,52, 0,60], t(9)=27,04, p>0.001 (two-tailed) |