Evidence map›Paper›PMID 41504205›Full record

Trial reportJournal of studies on alcohol and drugs2026

Suicidal Thoughts and Behaviors Do Not Influence Veterans' Alcohol Use Disorder or Posttraumatic Stress Disorder Recovery Trajectories in a Randomized Controlled Trial.

Margaret M Baer, Krithika Prakash, Shannon R Forkus, Sudie E Back, Brett T Litz, John D Roache, Stacey Young-McCaughan, Terence M Keane, Alan L Peterson, Julianne C Flanagan and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of studies on alcohol and drugs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Margaret M BaerRalph H. Johnson Veterans Affairs (VA) Medical Center, Charleston, South Carolina.
Krithika PrakashDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Shannon R ForkusDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Sudie E BackRalph H. Johnson Veterans Affairs (VA) Medical Center, Charleston, South Carolina.
Brett T LitzMassachusetts Epidemiological Research and Information Center, VA Boston Healthcare System, Boston, Massachusetts.
John D RoacheDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Stacey Young-McCaughanDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Terence M KeaneDepartment of Psychiatry, Chobanian & Avedisian School of Medicine, Boston University, Boston, Massachusetts.
Alan L PetersonDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Julianne C FlanaganRalph H. Johnson Veterans Affairs (VA) Medical Center, Charleston, South Carolina.
Consortium to Alleviate PTSD

Funding

INTERDISCIPLINARY ALCOHOL RESEARCH TRAINING PROGRAMT32AA007453 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BROOKE S.G. MOLINA · 1985 to 2026
$3.7M
Advancing Couple and Family Alcohol Treatment through Patient-Oriented Research and MentorshipK24AA030825 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI JULIANNE Christina Flanagan · 2023 to 2026
$767k
The effect of self-compassion on integrated treatment outcomes among veterans with co-occurring AUD and PTSD.F32AA031161 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FORKUS, SHANNON · 2023 to 2024
$148k
NIAAA NIH HHS F32 AA031161NIAAA NIH HHS K24 AA030825NIAAA NIH HHS T32 AA007453
6 · The paper itself

Abstract

objectiveSuicidal thoughts and behaviors (STB) are elevated among individuals with alcohol use disorder (AUD) and posttraumatic stress disorder (PTSD). The highest STB prevalences occur among those with comorbid AUD-PTSD. STB interferes with AUD and PTSD recovery outcomes. However, no research has examined the impact of STB on recovery trajectories among those with dual AUD-PTSD, a comorbidity with a chronic and difficult-to-treat clinical profile.

methodData from a randomized controlled trial with 141 (84.4% male) treatment-seeking Veterans with comorbid AUD-PTSD were used to compare the 12-week recovery trajectories for alcohol consumption (percent drinking days; percent heavy drinking days) and PTSD symptoms between the following groups: (a) Veterans with (

resultsCompared to respective groups without STB, Veterans with lifetime and current STB had similar severity of drinking consumption over 12 weeks and similar reductions in drinking consumption and PTSD symptoms over the study period. Veterans with (vs. without) current STB reported significantly higher PTSD symptom levels throughout the 12 weeks.

conclusionsResults suggest that the presence of lifetime and current STB does increase the severity of PTSD but does not appear to impact the rates of symptom recovery across a 12-week period. Results provide important context for cross-sectional research, underscoring the greater severity of AUD-PTSD. Our longitudinal analyses indicate that Veterans can achieve symptom improvements in AUD and PTSD, even in the context of co-occurring STB.

Indexed as

AlcoholismStress Disorders, Post-TraumaticSuicidal IdeationSuicide, AttemptedVeteransAdultComorbidityFemaleHumansMaleMiddle Aged

Identifiers

PMID41504205
PMCPMC12818577

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Registered trials

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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.