(PS5-D93) Is Psychotherapy Keeping Up? Marginalized Identity Reporting in Dialectical Behavioral Therapy Randomized Control Trials for Suicidal Behaviors: A Systematic Review

In 2020 suicide claimed the lives of over 45,000 people. It remains the 2nd leading cause of death amongst youth ages 10-14 and 25-34, and 3rd amongst those 15-24 (CDC, 2020). For the LGBTQ population, it is estimated that 45% of youth seriously consider attempting suicide. Furthermore 60% of youth who wanted mental health care in the past year were not able to get it. Many factors contribute to marginalized identities being especially vulnerable to suicidal behaviors. Minority stress, acculturation, and discrimination are unique risk factors that affect marginalized communities. There are several evidence-based therapies that have shown to be efficacious in treating suicidal behaviors. Dialectical Behavioral Therapy (DBT; Linehan, 1993), is an evidence-based psychotherapy for the treatment of borderline personality disorder, and co-occurring problems including suicidal behavior, depression, and substance use. There are several evidence-based therapies that have shown to be efficacious in treating suicidal behaviors. Dialectical Behavioral Therapy (DBT; Linehan, 1993), is an evidence-based psychotherapy for the treatment of borderline personality disorder, and co-occurring problems including suicidal behavior, depression, and substance use. Despite the evidence in support of the efficacy of DBT, marginalized identities, continue to make up a small percentage of client demographics when reported in clinical studies that treat suicidal behaviors. This is accompanied by an increase in demand for more inclusive, culturally competent, and personalized forms of behavioral interventions (Craske, 2022). The goal of the present study is to conduct a systematic review examining marginalized identity reporting within DBT randomized control trials (RCT’s). The results of this systematic review will delineate DBT RCT’s reporting practices of participant’s age, marital status, gender identity, sexual orientation, social economic status (SES), and ethnicity over time. This study will use systematic review reporting practices such as PRISMA, methodology criteria, and ROBIS for risk of bias. Furthermore, the eligibility criteria will include RCT’s conducted within the United States, using the English language, and those with visible reporting of participant demographic information. Databases such as PsychINFO, Scopus, and PubMed will be utilized as information sources. This study will present evidence of how DBT RCT’s have kept pace with population validity, and the increased demand of marginalized identity inclusion and reporting within DBT RCT’s for the treatment of suicidal behaviors.