Evidence map›Paper›PMID 37956631›Full record

Trial reportJournal of psychiatric research2023

Cognitive behavioral therapy for suicide prevention among Veterans receiving substance use disorder treatment: Results from a randomized trial.

Mark A Ilgen, Jennifer H Olson-Madden, Amanda Price, Lisa A Brenner, Cheryl A King, Frederic C Blow

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychiatric research, 2023. 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
–field-weighted citation impact
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.

  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

6 authors.

Mark A IlgenCenter for Clinical Management Research, Ann Arbor VA Healthcare System, Ann Arbor, MI, USA; Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. Electronic address: marki@med.umich.edu.
Jennifer H Olson-MaddenVA Rocky Mountain Mental Illness Research Education and Clinical Center for Veteran Suicide Prevention, Aurora, CO, USA.
Amanda PriceCenter for Clinical Management Research, Ann Arbor VA Healthcare System, Ann Arbor, MI, USA; Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Lisa A BrennerVA Rocky Mountain Mental Illness Research Education and Clinical Center for Veteran Suicide Prevention, Aurora, CO, USA; Departments of Physical Medicine and Rehabilitation, Psychiatry, and Neurology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Cheryl A KingDepartment of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Frederic C BlowCenter for Clinical Management Research, Ann Arbor VA Healthcare System, Ann Arbor, MI, USA; Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.

Funding

Dual Diagnosis Inpatients: Telephone Monitoring RCT to Improve OutcomesI01HX000109 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI ILGEN, MARK A., TIMKO, CHRISTINE D · 2011 to 2015
–
HSR&D Research Career Scientist AwardIK6HX002841 · VA · VETERANS HEALTH ADMINISTRATION · PI MARK A. ILGEN · 2020 to 2026
–
HSRD VA IK6 HX002841
6 · The paper itself

Abstract

Veterans receiving substance use disorder (SUD) treatment are at a clear elevated risk for engaging in suicidal behaviors. Intervening to reduce suicide risk during an episode of SUD treatment could meaningfully target a key high-risk group of Veterans. Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) was developed to reduce the frequency and duration of suicidal ideation, as well as decrease suicidal behaviors. The form of CBT-SP in this study progressed from building an understanding of the cognitive model to practicing new skills, and highlighted the links between substance use, craving, self-efficacy and suicidal ideation and attempts. CBT-SP was compared to an attention matched 8-session control condition (termed Supportive Psychoeducational Control [SPC]) during a multi-site randomized controlled trial for 299 Veterans receiving outpatient SUD treatment services within the Veterans Health Administration. The frequency of suicidal ideation remained relatively constant over 24-months of follow-up, however the duration of suicidal ideation decreased, and suicide attempts decreased relative to baseline in both conditions. Forty-two participants (14%) reported at least one suicide attempt during the 2-year follow-up period. No statistically significant differences were found between CBT-SP and SPC on any of these outcomes. Analyses of secondary outcomes indicate that preparatory behaviors for suicide were less common among those in the CBT-SP condition than SPC across the 24-month follow-up (OR, 95%CI = 0.44 (0.25, 0.79); p = 0.02). Veterans in SUD treatment are a high-risk group and delivery of suicide-specific interventions is feasible during SUD care. However, results did not indicate that CBT-SP was superior to SPC on any primary outcomes, underscoring the importance of identifying and testing alternative approaches that support suicide reduction in this group.

Indexed as

Cognitive Behavioral TherapySubstance-Related DisordersVeteransHumansSuicidal IdeationSuicide, AttemptedSuicide PreventionAddiction treatmentCognitive behavioral therapySubstance use disorder treatmentSuicideSuicide preventionVeterans

Identifiers

PMID37956631
PMCPMC13284699

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.