Evidence map›Paper›PMID 33990249›Full record

Trial reportBehavior therapy2021

The Effect of PTSD Symptom Change on Suicidal Ideation in a Combined Military and Civilian Sample Engaged in Cognitive Processing Therapy.

Clara M Johnson, Samantha C Holmes, Michael K Suvak, Jiyoung Song, Norman Shields, Jeanine E M Lane, Iris Sijercic, Zachary D Cohen, Shannon Wiltsey Stirman, Candice M Monson

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behavior therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
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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

10 authors at 6 institutions in 2 countries.

Clara M JohnsonDissemination and Training Division, National Center for PTSD.
Samantha C HolmesCollege of Staten Island, City University of New York; Yale School of Medicine.
Michael K SuvakSuffolk University.
Jiyoung SongDissemination and Training Division, National Center for PTSD.
Norman ShieldsRoyal Canadian Mounted Police.
Jeanine E M LaneRyerson University.
Iris SijercicRyerson University.
Zachary D CohenUniversity of California, Los Angeles.
Shannon Wiltsey StirmanDissemination and Training Division, National Center for PTSD; Stanford University. Electronic address: sws1@stanford.edu.
Candice M MonsonRyerson University.
National Center for PTSD · USToronto Metropolitan University · CARoyal Canadian Mounted Police · CASuffolk University · USUniversity of California, Los Angeles · USYale University · US

Funding

Research Training Program in Substance Use PreventionT32DA019426 · NIDA · YALE UNIVERSITY · PI TAMI P SULLIVAN · 2005 to 2026
$7.5M
NIDA NIH HHS T32 DA019426
6 · The paper itself

Abstract

In light of the well-established relationship between posttraumatic stress disorder (PTSD) and suicidal ideation (SI), there has been a push for treatments that simultaneously improve symptoms of PTSD and decrease SI. Using data from a randomized controlled hybrid implementation-effectiveness trial, the current study investigated the effectiveness of Cognitive Processing Therapy (CPT; Resick, Monson, & Chard, 2016) on PTSD and SI. The patient sample (N = 188) was diverse in military and veteran status, gender, and comorbidity, and 73% of the sample endorsed SI at one or more points during CPT. Participants demonstrated significant improvement in SI over the course of CPT. Multilevel growth curve modeling revealed a significant association between PTSD symptom change and change in SI. Results from cross-lagged multilevel regressions indicated that PTSD symptoms predicted SI in the next session, yet SI in a given session did not predict PTSD symptoms in the next session. Potentially relevant clinical factors (i.e., military status, gender, depression diagnosis, baseline SI, study consultation condition) were not associated with the relationship between PTSD symptoms and SI. These results add to the burgeoning literature suggesting that evidence-based treatments for PTSD, like CPT, reduce suicidality in a range of individuals with PTSD, and that this reduction is predicted by improvements in PTSD symptoms.

Indexed as

Cognitive Behavioral TherapyMilitary PersonnelStress Disorders, Post-TraumaticVeteransHumansSuicidal Ideationcognitive processing therapyPTSDsuicidalitytreatment process and outcome measures

Identifiers

PMID33990249
PMCPMC10968639
OpenAlexW3093664251

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.