Evidence map›Paper›PMID 31951318›Full record

ArticleDepression and anxiety2020

Courses of suicidal ideation among military veterans in residential treatment for posttraumatic stress disorder.

Noelle B Smith, Lauren M Sippel, David C Rozek, Patricia T Spangler, Delphine Traber, Casey L Straud, Rani Hoff, Ilan Harpaz-Rotem

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Depression and anxiety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Noelle B SmithVA Northeast Program Evaluation Center, Veterans Health Administration, West Haven, Connecticut.ORCID 0000-0001-5647-1600
Lauren M SippelExecutive Division, National Center for PTSD, White River Junction, Vermont.ORCID 0000-0001-7056-5857
David C RozekUCF RESTORES & Department of Psychology, University of Central Florida, Orlando, Florida.
Patricia T SpanglerCenter for the Study of Traumatic Stress, Uniformed Service University, Bethesda, Maryland.
Delphine TraberDepartment of Psychology, Université Grenoble Alpes, Université Savoie Mont Blanc, Grenoble, France.
Casey L StraudDepartment of Psychiatry, University of Texas Health Science Center San Antonio, San Antonio, Texas.
Rani HoffVA Northeast Program Evaluation Center, Veterans Health Administration, West Haven, Connecticut.
Ilan Harpaz-RotemVA Northeast Program Evaluation Center, Veterans Health Administration, West Haven, Connecticut.ORCID 0000-0002-6066-9406
United States Department of Veterans Affairs · USDartmouth College · USThe University of Texas Health Science Center at San Antonio · USUniformed Services University of the Health Sciences · USUniversité Savoie Mont Blanc · FRUniversity of Central Florida · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Vascular Health and Risk Factors in Children with Down SyndromeKL2TR002539 · NCATS · UNIVERSITY OF UTAH · PI MURTAUGH, MAUREEN A, NYGAARD, INGRID E · 2018 to 2022
$4.3M
NCATS NIH HHS KL2 TR002539NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002538
6 · The paper itself

Abstract

backgroundSuicidal thoughts are common among veterans with posttraumatic stress disorder (PTSD). The aim of this study was to examine the prevalence and correlates of four courses of suicidal (SI) among veterans receiving residential PTSD treatment.

methodsA total of 1,807 veterans receiving residential PTSD treatment at Department of Veterans Affairs medical facilities who completed self-report measures at admission and discharge were included.

resultsThe prevalence of SI courses were No SI (33.6%), Remitted SI (23.0%), SI onset (6.0%), and Chronic SI (37.4%). There were group differences between the four SI courses in PTSD symptoms at baseline, magnitude of PTSD symptom change during treatment, race/ethnicity and baseline depression, substance use, physical functioning, and pain. Chronic SI was associated with highest baseline PTSD, depression, substance use, pain and worse physical functioning. Remitted SI course was associated with greatest pre-posttreatment PTSD improvement, followed by No SI, Chronic SI, and SI Onset. Multinomial logistic regressions revealed that PTSD symptom improvement and baseline PTSD symptoms most consistently related to symptomatic SI courses compared to less symptomatic or No SI courses. Receipt of trauma-focused psychotherapy (none, some, or adequate) and length of stay were not related to SI courses and did not differ between groups.

conclusionsFindings indicate that treating PTSD symptoms could be impactful for reducing suicidal thoughts. Although many veterans had remitted or reduced severity of SI at discharge, a significant proportion of veterans reported SI at discharge (43.4%), potentially highlighting the need for suicide specific treatment interventions within the context of PTSD treatment.

Indexed as

Military PersonnelStress Disorders, Post-TraumaticVeteransHumansResidential TreatmentSuicidal Ideationchronic suicidal ideationcourses of suicidal ideationPTSDremitted suicidal ideationresidentialveterans

Identifiers

PMID31951318
PMCPMC7054126
OpenAlexW2998921356

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.