Abstract Dialectical Behavior Therapy (DBT) prioritizes suicidal behavior and other self-
directed violence as the primary treatment targets, and has been demonstrated to reduce
self-directed violence in clinical trials. This paper synthesizes findings from controlled trials
that assessed self-directed violence and suicidality, including suicide attempts, non-suicidal
self-injury (NSSI), suicidal ideation, and accessing psychiatric crisis services. Eighteen
controlled trials of DBT were identified. Random effects meta-analyses demonstrated that …