= 34) comparing manual-assisted cognitive-behavioral brief interven- = 0.11), which may be the

tion (MACT) with TAU. MACT is a problem-focused psychotherapy (i.e., problem-solving and basic cognitive techniques are taught to manage emotions and prevent relapse) with accompanying brief bibliotherapy. MACT incorporated the behavioral chain analysis of parasuicide epi- sodes and a subset of skills from the DBT distress-tolerance module.