The 24-hour rule in DBT: Rationale of Life-Threatening Behavior Reinforcement

Psychē, PLLC Vanderbilt University

Key Points

  1. If the patient engages in a life-threatening behavior, inter-session contact is not allowed for a full 24 hours. This is referred to as the 24-Hour Rule in DBT.
  2. This rule reduces the risk that therapist contact reinforces life-threatening behavior.
  3. The rule does not apply for treatment with adolescents.
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