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EVALUATING POTENTIAL IATROGENIC SUICIDE RISK IN TRAUMA-FOCUSED GROUP COGNITIVE BEHAVIORAL THERAPY FOR THE TREATMENT OF PTSD IN ACTIVE DUTY MILITARY PERSONNEL.

Publication ,  Journal Article
Bryan, CJ; Clemans, TA; Hernandez, AM; Mintz, J; Peterson, AL; Yarvis, JS; Resick, PA; STRONG STAR Consortium,
Published in: Depress Anxiety
June 2016

OBJECTIVE: To determine whether group cognitive processing therapy-cognitive only version (CPT-C) is associated with iatrogenic suicide risk in a sample of active duty US Army personnel diagnosed with posttraumatic stress disorder (PTSD). Possible iatrogenic effects considered include the incidence and severity of suicide ideation, worsening of preexisting suicide ideation, incidence of new-onset suicide ideation, and incidence of suicide attempts among soldiers receiving group CPT-C. Comparison with group present-centered therapy (PCT) was made to contextualize findings. METHOD: One hundred eight soldiers (100 men, eight women) diagnosed with PTSD were randomized to receive either group CPT-C or group PCT. PTSD diagnosis was confirmed via structured clinician interview. Suicide ideation, depression severity, and PTSD severity were assessed at pretreatment, weekly during treatment, and 2 weeks, 6 months, and 12 months posttreatment. RESULTS: Rates of suicide ideation significantly decreased across both treatments. Among soldiers with pretreatment suicide ideation, severity of suicide ideation significantly decreased across both treatments and was maintained for up to 12 months posttreatment. Exacerbation of preexisting suicide ideation was uncommon in both treatments. New-onset suicide ideation was rare and similar across both treatments (<16%). There were no suicide attempts during treatment or follow-up in either group. Change in depression symptoms predicted change in suicide risk. CONCLUSIONS: Suicide-related outcomes were similar across both treatments and primarily associated with comorbid depression. Suicide-related outcomes in group CPT-C were rare and comparable to patterns observed in an active, nontrauma-focused therapy, even among soldiers who entered treatment with suicide ideation. GOV IDENTIFIER: NCT01286415, https://clinicaltrials.gov/ct2/show/NCT01286415.

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Published In

Depress Anxiety

DOI

EISSN

1520-6394

Publication Date

June 2016

Volume

33

Issue

6

Start / End Page

549 / 557

Location

United States

Related Subject Headings

  • Young Adult
  • Suicidal Ideation
  • Stress Disorders, Post-Traumatic
  • Psychiatry
  • Outcome Assessment, Health Care
  • Military Personnel
  • Middle Aged
  • Male
  • Iatrogenic Disease
  • Humans
 

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Bryan, C. J., Clemans, T. A., Hernandez, A. M., Mintz, J., Peterson, A. L., Yarvis, J. S., … STRONG STAR Consortium, . (2016). EVALUATING POTENTIAL IATROGENIC SUICIDE RISK IN TRAUMA-FOCUSED GROUP COGNITIVE BEHAVIORAL THERAPY FOR THE TREATMENT OF PTSD IN ACTIVE DUTY MILITARY PERSONNEL. Depress Anxiety, 33(6), 549–557. https://doi.org/10.1002/da.22456
Bryan, Craig J., Tracy A. Clemans, Ann Marie Hernandez, Jim Mintz, Alan L. Peterson, Jeffrey S. Yarvis, Patricia A. Resick, and Patricia A. STRONG STAR Consortium. “EVALUATING POTENTIAL IATROGENIC SUICIDE RISK IN TRAUMA-FOCUSED GROUP COGNITIVE BEHAVIORAL THERAPY FOR THE TREATMENT OF PTSD IN ACTIVE DUTY MILITARY PERSONNEL.Depress Anxiety 33, no. 6 (June 2016): 549–57. https://doi.org/10.1002/da.22456.
Bryan CJ, Clemans TA, Hernandez AM, Mintz J, Peterson AL, Yarvis JS, et al. EVALUATING POTENTIAL IATROGENIC SUICIDE RISK IN TRAUMA-FOCUSED GROUP COGNITIVE BEHAVIORAL THERAPY FOR THE TREATMENT OF PTSD IN ACTIVE DUTY MILITARY PERSONNEL. Depress Anxiety. 2016 Jun;33(6):549–57.
Bryan, Craig J., et al. “EVALUATING POTENTIAL IATROGENIC SUICIDE RISK IN TRAUMA-FOCUSED GROUP COGNITIVE BEHAVIORAL THERAPY FOR THE TREATMENT OF PTSD IN ACTIVE DUTY MILITARY PERSONNEL.Depress Anxiety, vol. 33, no. 6, June 2016, pp. 549–57. Pubmed, doi:10.1002/da.22456.
Bryan CJ, Clemans TA, Hernandez AM, Mintz J, Peterson AL, Yarvis JS, Resick PA, STRONG STAR Consortium. EVALUATING POTENTIAL IATROGENIC SUICIDE RISK IN TRAUMA-FOCUSED GROUP COGNITIVE BEHAVIORAL THERAPY FOR THE TREATMENT OF PTSD IN ACTIVE DUTY MILITARY PERSONNEL. Depress Anxiety. 2016 Jun;33(6):549–557.
Journal cover image

Published In

Depress Anxiety

DOI

EISSN

1520-6394

Publication Date

June 2016

Volume

33

Issue

6

Start / End Page

549 / 557

Location

United States

Related Subject Headings

  • Young Adult
  • Suicidal Ideation
  • Stress Disorders, Post-Traumatic
  • Psychiatry
  • Outcome Assessment, Health Care
  • Military Personnel
  • Middle Aged
  • Male
  • Iatrogenic Disease
  • Humans