Brief cognitive behavioral therapy reduces suicidal ideation in veterans with chronic illnesses
- PMID: 30844639
- DOI: 10.1016/j.genhosppsych.2019.02.002
Brief cognitive behavioral therapy reduces suicidal ideation in veterans with chronic illnesses
Abstract
Objective: We evaluated the effect of brief cognitive behavioral therapy (bCBT) on suicidal ideation among medically ill veterans receiving mental health treatment in primary care.
Methods: Secondary analysis was conducted on data collected during a multisite, patient-randomized trial investigating the impact of bCBT (n = 180) on depression and anxiety symptoms, relative to enhanced usual care (EUC; n = 122), in patients with congestive heart failure and/or chronic obstructive pulmonary disease. BCBT was delivered by primary care mental health providers over 4 months, with follow-up posttreatment assessments of suicidal ideation, measured by the Patient Health Questionnaire-9 (item 9) at 4, 8, and 12 months. Suicidal ideation was the primary outcome examined in the current analysis. Generalized estimating equations modeling suicidal ideation were used to compare the study arms.
Results: Participants receiving bCBT were less likely to have high suicidal ideation than participants receiving EUC posttreatment and at 8-month follow-up after accounting for baseline suicidal ideation. Within-group comparisons suggest participants receiving bCBT were less likely to have high suicidal ideation at 4, 8, and 12 months when compared with baseline. High suicidal ideation for EUC participants did not differ at 4, or 8 months, but they were less likely to have high suicidal ideation at 12 months.
Conclusion: bCBT in primary care reduces suicidal ideation and may help prevent future suicidal ideation.
Keywords: Anxiety; COPD; Cognitive behavior therapy; Congestive heart failure; Depression; Suicidal ideation; Veterans.
Published by Elsevier Inc.
Similar articles
-
Delivery of Brief Cognitive Behavioral Therapy for Medically Ill Patients in Primary Care: A Pragmatic Randomized Clinical Trial.J Gen Intern Med. 2017 Sep;32(9):1014-1024. doi: 10.1007/s11606-017-4101-3. Epub 2017 Jun 20. J Gen Intern Med. 2017. PMID: 28634906 Free PMC article. Clinical Trial.
-
Integrated Brief Cognitive Behavioral Therapy Improves Illness Intrusiveness in Veterans With Chronic Obstructive Pulmonary Disease.Ann Behav Med. 2018 Jul 13;52(8):686-696. doi: 10.1093/abm/kax045. Ann Behav Med. 2018. PMID: 29860524 Clinical Trial.
-
Prevalence and correlates of suicidal ideation and suicide attempts among veterans in primary care referred for a mental health evaluation.J Affect Disord. 2016 Jan 1;189:344-50. doi: 10.1016/j.jad.2015.09.014. Epub 2015 Sep 28. J Affect Disord. 2016. PMID: 26474375
-
The Impact of Integrating Physical Health into a Brief CBT Approach for Medically Ill Veterans.J Clin Psychol Med Settings. 2020 Jun;27(2):285-294. doi: 10.1007/s10880-019-09634-2. J Clin Psychol Med Settings. 2020. PMID: 31201653 Clinical Trial.
-
Writing to Keep on Living: A Systematic Review and Meta-Analysis on Creative Writing Therapy for the Management of Depression and Suicidal Ideation.Curr Psychiatry Rep. 2024 Jul;26(7):359-378. doi: 10.1007/s11920-024-01511-6. Epub 2024 May 8. Curr Psychiatry Rep. 2024. PMID: 38717657 Review.
Cited by
-
Expanding access to evidence-based psychotherapy in VA settings: implementation of the brief cognitive behavioral therapy for depression program.Front Health Serv. 2023 Oct 13;3:1210286. doi: 10.3389/frhs.2023.1210286. eCollection 2023. Front Health Serv. 2023. PMID: 37908557 Free PMC article.
-
The Relationships Between Suicidal Ideation, Meaning in Life, and Affect: a Network Analysis.Int J Ment Health Addict. 2023 Feb 7:1-20. doi: 10.1007/s11469-023-01019-9. Online ahead of print. Int J Ment Health Addict. 2023. PMID: 36776916 Free PMC article.
-
Leveraging the ExpandNet framework and operational partnerships to scale-up brief Cognitive Behavioral Therapy in VA primary care clinics.J Clin Transl Sci. 2022 Jul 20;6(1):e95. doi: 10.1017/cts.2022.430. eCollection 2022. J Clin Transl Sci. 2022. PMID: 36003211 Free PMC article.
-
Improving Physiological, Physical, and Psychological Health Outcomes: A Narrative Review in US Veterans with COPD.Int J Chron Obstruct Pulmon Dis. 2022 Jun 1;17:1269-1283. doi: 10.2147/COPD.S339323. eCollection 2022. Int J Chron Obstruct Pulmon Dis. 2022. PMID: 35677347 Free PMC article. Review.
-
Mortality in patients with heart failure and suicidal ideation discharged to skilled nursing facilities.J Geriatr Cardiol. 2022 Mar 28;19(3):198-208. doi: 10.11909/j.issn.1671-5411.2022.03.009. J Geriatr Cardiol. 2022. PMID: 35464651 Free PMC article. No abstract available.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical