Differential Effects of Brief CBT Versus Treatment as Usual on Posttreatment Suicide Attempts Among Groups of Suicidal Patients.
Objective: The purpose of this study was to examine variability in outcomes (suicide attempt rates) across subgroups of patients who were randomly enrolled in brief cognitive-behavioral therapy (CBT) and treatment as usual.Methods: A secondary analysis was conducted of data collected during a random...
| Publicado en: | Psychiatric Services Vol. 69; no. 6; pp. 703 - 710 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Psychiatric Publishing, Inc.
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129890970&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129890970 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10752730 0Y1 jtl: Psychiatric Services issn: 10752730 maglogo: N pubinfo: dt: Jun2018 vid: 69 iid: 6 pid: 37323 pub: American Psychiatric Publishing, Inc. place: Arlington, Virginia artinfo: ui: 129890970 129890970 NLM29493409 129890970 10.1176/appi.ps.201700452 NLM29493409 129890970 ppf: 703 ppct: 7 formats: tig: atl: Differential Effects of Brief CBT Versus Treatment as Usual on Posttreatment Suicide Attempts Among Groups of Suicidal Patients. aug: au: Bryan, Craig J. Peterson, Alan L. Rudd, M. David affil: National Center for Veterans Studies, University of Utah, Salt Lake City sug: subj: Suicide, Attempted Prevention and Control Military Personnel Psychotherapy, Brief Methods Outcome Assessment Suicidal Ideation Young Adult Female Severity of Illness Indices Human Male Adult Adult: 19-44 years Female Male ab: Objective: The purpose of this study was to examine variability in outcomes (suicide attempt rates) across subgroups of patients who were randomly enrolled in brief cognitive-behavioral therapy (CBT) and treatment as usual.Methods: A secondary analysis was conducted of data collected during a randomized clinical trial of brief CBT for suicide prevention in a sample of 176 U.S. military personnel who reported active suicide ideation in the past week or a suicide attempt in the past month. Latent-class analysis was used to identify empirically distinct and clinically meaningful patient subgroups. Rates of suicide attempts during a two-year follow-up period were compared across classes and treatment groups.Results: Three latent classes corresponding to low (N=55), moderate (N=40), and high (N=57) suicide risk were identified. The classes significantly differed with respect to psychiatric symptom severity but not demographic or historical variables. Rates of suicide attempts during the two-year follow-up significantly varied across classes in treatment as usual but did not vary across classes in brief CBT (21% versus 10%, respectively, in the low-severity class, 8% versus 13% in the moderate-severity class, and 41% versus 10% in the high-severity class). Differences between treatment conditions in suicide attempt rates were statistically significant for the high-severity class.Conclusions: Treatment as usual was associated with variable rates of suicidal behavior, depending on suicide risk severity. Brief CBT contributed to consistently low rates of suicidal behavior regardless of patient severity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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