DBT Skills Group for Suicide Risk

This trial aims to assist veterans at risk of suicide by testing a new version of Dialectical Behavior Therapy Skills Group (DBT-SG). Designed to help individuals better manage their emotions, DBT-SG is being tested alongside usual care at Veterans Health Administration (VHA) facilities. The study will compare two groups: one receiving both DBT-SG and standard VHA care, and another receiving only standard VHA care. Veterans who have attempted suicide at least twice, with one attempt in the past year, and who struggle with managing emotions may be suitable for this trial. Participants must have phone access and be able to attend group sessions. As an unphased trial, this study provides veterans the chance to access potentially beneficial therapy while contributing to important research.

The trial protocol does not specify whether you need to stop taking your current medications. It seems likely that you can continue your usual treatment, as the trial involves DBT Skills Group in addition to VHA treatment-as-usual.

Studies have shown that Dialectical Behavior Therapy Skills Groups (DBT-SG) are generally safe. Research indicates that participants tolerate these groups well, with few reports of negative side effects. DBT-SG has been linked to reduced suicidal thoughts and improved emotional control. These groups teach essential skills such as stress management, emotional regulation, and relationship enhancement. Additionally, previous research suggests that DBT, including its skills training components, is generally safe. This means that participants in DBT-SG usually do not experience serious problems from the treatment itself.¹²³⁴⁵

Researchers are excited about the DBT Skills Group for suicide risk because it offers a structured approach to teaching essential life skills that can directly impact emotional and mental well-being. Unlike the standard VHA treatment, which focuses on general mental health support, this group intervention specifically equips individuals with tools for emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. By integrating these skills into the regular treatment regimen, it has the potential to provide more targeted support, helping individuals better manage the challenges that contribute to suicide risk.

Studies have shown that Dialectical Behavior Therapy (DBT) helps reduce suicidal behavior. Research indicates that the DBT Skills Group (DBT-SG) component can lessen suicidal thoughts and improve emotional management. In this trial, some participants will receive DBT-SG in addition to VHA treatment as usual. Participants in DBT programs have demonstrated significant progress in managing emotions and reducing self-harm. A review of multiple studies found that DBT effectively lowers outcomes related to suicide, making it a strong option for those at high risk. This suggests that DBT-SG may benefit Veterans dealing with emotional challenges and suicidal thoughts.¹²⁶⁷⁸