Skip to main content
Journal cover image

An Evaluation of the Effectiveness of Evidence-Based Psychotherapies for Depression to Reduce Suicidal Ideation among Male and Female Veterans.

Publication ,  Journal Article
Kumpula, MJ; Wagner, HR; Dedert, EA; Crowe, CM; Day, KT; Powell, K; Batdorf, WH; Shabana, H; Kim, E; Kimbrel, NA
Published in: Womens Health Issues
June 25, 2019

BACKGROUND: Although most suicide-related deaths occur among male veterans, women veterans are dying by suicide in increasing numbers. Identifying and increasing access to effective treatments is imperative for Department of Veterans Affairs suicide prevention efforts. We examined the impact of evidence-based psychotherapies for depression on suicidal ideation and the role of gender and treatment type in patients' responses to treatment. METHODS: Clinicians receiving case consultation in interpersonal psychotherapy, cognitive-behavioral therapy for depression, and acceptance and commitment therapy for depression submitted data on depressive symptoms and suicidal ideation while treating veterans with depression. RESULTS: Suicidal ideation was reduced across time in all three treatments. A main effect for wave was associated with statistically significant decreases in severity of suicidal ideation, χ2 (2) = 224.01, p = .0001, and a subsequent test of the Gender × Wave interaction was associated with differentially larger decreases in ideation among women veterans, χ2 (2) = 9.26, p = .001. Within gender-stratified subsamples, a statistically significant Treatment × Time interaction was found for male veterans, χ2 (4) = 16.82, p = .002, with levels of ideation significantly decreased at waves 2 and 3 in interpersonal psychotherapy and cognitive-behavioral therapy for depression relative to acceptance and commitment therapy for depression; the Treatment × Wave interaction within the female subsample was not statistically significant, χ2 (4) = 3.41, p = .492. CONCLUSIONS: This analysis demonstrates the efficacy of each of the three tested evidence-based psychotherapies for depression as a means of decreasing suicidal ideation, especially in women veterans. For male veterans, decreases in suicidal ideation were significantly greater in interpersonal psychotherapy and cognitive-behavioral therapy for depression relative to acceptance and commitment therapy for depression.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Womens Health Issues

DOI

EISSN

1878-4321

Publication Date

June 25, 2019

Volume

29 Suppl 1

Start / End Page

S103 / S111

Location

United States

Related Subject Headings

  • Veterans
  • Treatment Outcome
  • Suicide Prevention
  • Suicidal Ideation
  • Public Health
  • Psychotherapy
  • Middle Aged
  • Male
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kumpula, M. J., Wagner, H. R., Dedert, E. A., Crowe, C. M., Day, K. T., Powell, K., … Kimbrel, N. A. (2019). An Evaluation of the Effectiveness of Evidence-Based Psychotherapies for Depression to Reduce Suicidal Ideation among Male and Female Veterans. Womens Health Issues, 29 Suppl 1, S103–S111. https://doi.org/10.1016/j.whi.2019.04.013
Kumpula, Mandy J., H Ryan Wagner, Eric A. Dedert, Chris M. Crowe, Kristine T. Day, Kristin Powell, Wendy H. Batdorf, Hani Shabana, Ellie Kim, and Nathan A. Kimbrel. “An Evaluation of the Effectiveness of Evidence-Based Psychotherapies for Depression to Reduce Suicidal Ideation among Male and Female Veterans.Womens Health Issues 29 Suppl 1 (June 25, 2019): S103–11. https://doi.org/10.1016/j.whi.2019.04.013.
Kumpula MJ, Wagner HR, Dedert EA, Crowe CM, Day KT, Powell K, et al. An Evaluation of the Effectiveness of Evidence-Based Psychotherapies for Depression to Reduce Suicidal Ideation among Male and Female Veterans. Womens Health Issues. 2019 Jun 25;29 Suppl 1:S103–11.
Kumpula, Mandy J., et al. “An Evaluation of the Effectiveness of Evidence-Based Psychotherapies for Depression to Reduce Suicidal Ideation among Male and Female Veterans.Womens Health Issues, vol. 29 Suppl 1, June 2019, pp. S103–11. Pubmed, doi:10.1016/j.whi.2019.04.013.
Kumpula MJ, Wagner HR, Dedert EA, Crowe CM, Day KT, Powell K, Batdorf WH, Shabana H, Kim E, Kimbrel NA. An Evaluation of the Effectiveness of Evidence-Based Psychotherapies for Depression to Reduce Suicidal Ideation among Male and Female Veterans. Womens Health Issues. 2019 Jun 25;29 Suppl 1:S103–S111.
Journal cover image

Published In

Womens Health Issues

DOI

EISSN

1878-4321

Publication Date

June 25, 2019

Volume

29 Suppl 1

Start / End Page

S103 / S111

Location

United States

Related Subject Headings

  • Veterans
  • Treatment Outcome
  • Suicide Prevention
  • Suicidal Ideation
  • Public Health
  • Psychotherapy
  • Middle Aged
  • Male
  • Humans
  • Female