DBT DBT Crisis Intervention and Safety

Question 1

In DBT, what is the '24-hour rule' for phone coaching?

Accepted Answer

Clients do not receive phone coaching for 24 hours after engaging in self-harm

Answer

Clients must call within 24 hours of a crisis

Answer

Therapists must respond within 24 hours to all messages

Answer

Skills group sessions last 24 hours

Question 2

What is 'parasuicidal behavior' as defined in DBT?

Accepted Answer

Any intentional acute self-injurious act, regardless of suicidal intent

Answer

Suicidal ideation without intent

Answer

Behavior that mimics suicide attempts for attention

Answer

Suicidal behavior in people with psychosis

Question 3

How does DBT approach the topic of suicide differently from traditional crisis intervention?

Accepted Answer

DBT addresses suicidal behavior directly and behaviorally, treating it as a problem to be solved through skill building

Answer

DBT avoids discussing suicide directly

Answer

DBT always recommends hospitalization for suicidal ideation

Answer

DBT ignores suicidal ideation until a plan is present

Question 4

What is 'crisis survival' in DBT distress tolerance?

Accepted Answer

Short-term skills to get through intense emotional crises without making things worse

Answer

Long-term coping strategies for chronic stress

Answer

Emergency hospitalization procedures

Answer

Crisis hotline counseling techniques

Question 5

Which DBT skill involves putting your face in cold water to rapidly reduce emotional intensity?

Accepted Answer

Temperature change (Cold water dive response)

Answer

Paced breathing

Answer

Progressive muscle relaxation

Answer

Mindful observation

Question 6

What is 'urge surfing' in DBT crisis intervention?

Accepted Answer

Mindfully observing an urge as it rises and falls without acting on it

Answer

Using internet resources to find coping strategies during a crisis

Answer

Surfing social media to distract from urges

Answer

A group activity for crisis support