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A dialectical behavior therapy skills intervention for women with suicidal behaviors in rural Nepal: A single-case experimental design series.

Publication ,  Journal Article
Ramaiya, MK; McLean, C; Regmi, U; Fiorillo, D; Robins, CJ; Kohrt, BA
Published in: J Clin Psychol
July 2018

BACKGROUND: Suicide in low- and middle-income countries (LMICs) accounts for 75% of the world's burden of suicide mortality and is the leading single cause of death among Nepali reproductive age women. To advance treatment for suicidal behaviors in LMICs, a single-case experimental design (SCED) was conducted of a culturally adapted Dialectical Behavior Therapy skills intervention for Nepali populations (DBT-N). METHOD: Ten Nepali women with histories of suicidality participated in the 10-session intervention. Outcomes of emotion regulation, suicidal ideation, depression, anxiety, resilience, and coping skills use were measured at multiple time points pre-intervention, during, and at follow-up. Qualitative interviewing assessed DBT-N's feasibility and acceptability. RESULTS: Participants showed improvements in emotion regulation over the course of treatment, which were associated with increased skills use. Rapid, sustained reductions in suicidal ideation and improvements in resilience were observed after DBT-N initiation. CONCLUSION: This SCED supports conducting further evaluation of DBT-N through controlled trials with emotion regulation as a target mechanism of action for reducing suicidal behaviors in LMICs.

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Published In

J Clin Psychol

DOI

EISSN

1097-4679

Publication Date

July 2018

Volume

74

Issue

7

Start / End Page

1071 / 1091

Location

United States

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Suicide
  • Suicidal Ideation
  • Stress Disorders, Post-Traumatic
  • Self-Injurious Behavior
  • Rural Population
  • Research Design
  • Nepal
  • Middle Aged
 

Citation

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Chicago
ICMJE
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Ramaiya, M. K., McLean, C., Regmi, U., Fiorillo, D., Robins, C. J., & Kohrt, B. A. (2018). A dialectical behavior therapy skills intervention for women with suicidal behaviors in rural Nepal: A single-case experimental design series. J Clin Psychol, 74(7), 1071–1091. https://doi.org/10.1002/jclp.22588
Ramaiya, Megan K., Caitlin McLean, Upasana Regmi, Devika Fiorillo, Clive J. Robins, and Brandon A. Kohrt. “A dialectical behavior therapy skills intervention for women with suicidal behaviors in rural Nepal: A single-case experimental design series.J Clin Psychol 74, no. 7 (July 2018): 1071–91. https://doi.org/10.1002/jclp.22588.
Ramaiya MK, McLean C, Regmi U, Fiorillo D, Robins CJ, Kohrt BA. A dialectical behavior therapy skills intervention for women with suicidal behaviors in rural Nepal: A single-case experimental design series. J Clin Psychol. 2018 Jul;74(7):1071–91.
Ramaiya, Megan K., et al. “A dialectical behavior therapy skills intervention for women with suicidal behaviors in rural Nepal: A single-case experimental design series.J Clin Psychol, vol. 74, no. 7, July 2018, pp. 1071–91. Pubmed, doi:10.1002/jclp.22588.
Ramaiya MK, McLean C, Regmi U, Fiorillo D, Robins CJ, Kohrt BA. A dialectical behavior therapy skills intervention for women with suicidal behaviors in rural Nepal: A single-case experimental design series. J Clin Psychol. 2018 Jul;74(7):1071–1091.
Journal cover image

Published In

J Clin Psychol

DOI

EISSN

1097-4679

Publication Date

July 2018

Volume

74

Issue

7

Start / End Page

1071 / 1091

Location

United States

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Suicide
  • Suicidal Ideation
  • Stress Disorders, Post-Traumatic
  • Self-Injurious Behavior
  • Rural Population
  • Research Design
  • Nepal
  • Middle Aged