DBT plus an online sleep program for teens at high risk of suicide

Combined Dialectical Behavior Therapy and Digital Cognitive Behavioral Therapy for Insomnia for Adolescents at High Risk for Suicide: A Pilot RCT

NIH-funded research Stanford University · NIH-11105906

This project tests whether adding a web-based insomnia program to dialectical behavior therapy helps teens at high risk for suicide sleep better and reduce self-harm and suicidal thoughts.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionStanford University NIH-funded
Lab location1 site (Stanford, United States)
Project IDNIH-11105906 on NIH RePORTER

What this research studies

If you join, you'll be a teen receiving dialectical behavior therapy (DBT) for suicidal thoughts or self-harm and may be randomly assigned to also use a short online cognitive-behavioral program for insomnia. The team will begin with a small open pilot to get feedback from youth and therapists and then run a pilot randomized trial to compare DBT alone versus DBT plus the online sleep program. Researchers will collect sleep reports, questionnaires about suicidal ideation and self-harm, and other measures over the study period. Therapists and study staff will support engagement with the digital program and adjust the approach based on early feedback.

Who could benefit from this research

Good fit: Ideal candidates are adolescents with insomnia who have recent suicidal ideation or a history of self-harm and who are receiving or willing to start DBT.

Not a fit: Teens without insomnia or suicidal/self-harm risk, those needing immediate inpatient psychiatric care, or those unable to use internet-based tools are unlikely to benefit from this trial.

Why it matters

Potential benefit: If successful, adding the sleep program to DBT could improve sleep and lower suicidal thoughts and self-harm in participating teens.

How similar studies have performed: DBT has strong evidence for reducing self-harm and digital CBT for insomnia improves sleep in youth, but combining these approaches for suicide prevention in adolescents is a novel strategy.

Where this research is happening

Stanford, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.