Journal of Consulting and Clinical Psychology Vol. 86, Iss. 2,  (Feb 2018): 116-124. Objective: Although previous research has suggested that people with a history of using psychiatric crisis services are at higher risk for suicide, it is unclear whether this link is attributable to individual risk factors or iatrogenic effects of service utilization. We examined this question by analyzing data from a randomized controlled trial of dialectical behavior therapy (DBT), a treatment for highly suicidal individuals in which patients took advantage of crisis services less than those in the comparison condition. . To read the full article, log in using your NHS OpenAthens details.