RCT: Effect of offering care management or online dialectical behavior therapy skills training vs. usual care on self-harm among adult outpatients with suicidal ideation (important negative study).

Effect of Offering Care Management or Online Dialectical Behavior Therapy Skills Training vs Usual Care on Self-harm Among Adult Outpatients With Suicidal Ideation: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentary: Low-Intensity Care Options Flop for Self-Harm Prevention— In randomized trial, two therapeutic interventions failed to help people with suicidal thoughts – MedPage Today (free registration required)

See also: Visual Abstract

Commentary on Twitter

1/ Let's see if I understand this. You take people who are in so much pain, they want to die. They're likely feeling that no one really cares about them. And you provide "interventions… delivered primarily through electronic health record online messaging." What could go wrong? https://t.co/865QyJp7Dg

— Jonathan Shedler (@JonathanShedler) February 16, 2022