{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T08:01:03Z","timestamp":1792569663160,"version":"4.5.0"},"reference-count":53,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T00:00:00Z","timestamp":1769212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006694","name":"McLean Hospital","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006694","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dialectical Behavior Therapy\u2019s (DBT) original biosocial theory and subsequent iterations as a transactional model suggest that invalidating social and family environments can contribute to emotion dysregulation and patterns of self-invalidation that may lead to suicidal and non-suicidal self-injurious behaviors over time. To our knowledge, no studies have examined the relationship between parental and self-invalidation on suicidality in a treatment setting or longitudinally over the course of treatment from pre-to post-treatment. This study examined the relationship between youth-reported parental invalidation, self-invalidation, and suicidality over the course of treatment in a comprehensive DBT partial hospitalization program (PHP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two hundred sixty-four adolescents and young adults admitted to a four-week comprehensive DBT PHP that incorporated family, individual, and skills group therapy components. All patients completed surveys evaluating perceived parental-invalidation, self-invalidation, and suicidality pre- and post-treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients reported significant decreases on all outcome measures: perceived mother and father invalidation, self-invalidation, and suicidality after 4\u00a0weeks. Changes (reductions) in both self-invalidation and mother invalidation were significant predictors of reduced suicidality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Comprehensive DBT is a viable treatment option for decreasing invalidation and suicidality in four weeks. These findings emphasize the importance of parent involvement in improving treatment outcomes for adolescents and young adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13591045261418189","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T12:34:36Z","timestamp":1769258076000},"page":"513-529","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Impact of Perceived Parental Invalidation and Self-Invalidation on Suicidality in an Adolescent DBT Partial Hospitalization Program"],"prefix":"10.1177","volume":"31","author":[{"given":"Katherine J.","family":"Brown","sequence":"first","affiliation":[{"name":"McLean Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther S.","family":"Tung","sequence":"additional","affiliation":[{"name":"McLean Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3700-2961","authenticated-orcid":false,"given":"Genesis A.","family":"Vergara","sequence":"additional","affiliation":[{"name":"University of Massachusetts Amherst"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan E.","family":"Fruzzetti","sequence":"additional","affiliation":[{"name":"National Suicide Research Foundation"},{"name":", University College Cork"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peg M.","family":"Worden","sequence":"additional","affiliation":[{"name":"McLean Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4501-1485","authenticated-orcid":false,"given":"Kristen L.","family":"Batejan","sequence":"additional","affiliation":[{"name":"McLean Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,24]]},"reference":[{"key":"e_1_3_7_2_1","unstructured":"Addis M. 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