Crisis response planning rapidly reduces suicidal ideation among U.S. military veterans receiving massed cognitive processing therapy for PTSD

  • Bryan, C. J., Bryan, A. O., Khazem, L. R., Aase, D. M., Moreno, J. L., Ammendola, E., Bauder, C. R., Hiser, J., Daruwala, S. E., & Baker, J. C. (2024). Crisis response planning rapidly reduces suicidal ideation among U.S. military veterans receiving massed cognitive processing therapy for PTSD. Journal of Anxiety Disorders, 102, Article 102824. https://doi.org/10.1016/j.janxdis.2023.102824
  • This study compared two approaches to reducing suicidality for 157 Service members and Veterans in a trauma-focused therapy program. Participants were randomly assigned to receive self-guided safety planning (treatment as usual; n = 81) or clinician-collaborated crisis response planning (n = 76). Participants completed surveys on active (i.e., specific thoughts about ending one's life) and passive (i.e., general desire for death) suicidal ideation as well as posttraumatic stress disorder (PTSD) symptoms at 5 time points (i.e., treatment start, midtreatment, end of treatment, 6 months posttreatment, and 12 months posttreatment). In general, participants with active suicidal ideation in the crisis response planning group reported more rapid reductions in suicidal ideation and greater reductions overall in PTSD symptoms compared to the safety planning group.

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