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TREATMENT OF POSTTRAUMATIC STRESS DISORDER REDUCES SUICIDAL IDEATION

2013; Wiley; Linguagem: Inglês

10.1002/da.22117

1520-6394

Jaimie L. Gradus, Michael K. Suvak, Blair E. Wisco, Brian P. Marx, Patricia A. Resick,

Traumatic Brain Injury Research

Depression and AnxietyVolume 30, Issue 10 p. 1046-1053 Prevention and Treatment TREATMENT OF POSTTRAUMATIC STRESS DISORDER REDUCES SUICIDAL IDEATION Jaimie L. Gradus D.Sc., M.P.H., Corresponding Author Jaimie L. Gradus D.Sc., M.P.H. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts Department of Epidemiology, Boston University School of Public Health, Boston, MassachusettsCorrespondence to: Jaimie L. Gradus, VA Boston Healthcare System, 150 S. Huntington Ave (116B-3) Boston, MA 02130. E-mail: Jaimie.gradus@va.govSearch for more papers by this authorMichael K. Suvak Ph.D., Michael K. Suvak Ph.D. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychology, Suffolk University, Boston, MassachusettsSearch for more papers by this authorBlair E. Wisco Ph.D., Blair E. Wisco Ph.D. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychiatry, Boston University School of Medicine, Boston, MassachusettsSearch for more papers by this authorBrian P. Marx Ph.D., Brian P. Marx Ph.D. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychiatry, Boston University School of Medicine, Boston, MassachusettsSearch for more papers by this authorPatricia A. Resick Ph.D., A.B.P.P., Patricia A. Resick Ph.D., A.B.P.P. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychiatry, Boston University School of Medicine, Boston, MassachusettsSearch for more papers by this author Jaimie L. Gradus D.Sc., M.P.H., Corresponding Author Jaimie L. Gradus D.Sc., M.P.H. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts Department of Epidemiology, Boston University School of Public Health, Boston, MassachusettsCorrespondence to: Jaimie L. Gradus, VA Boston Healthcare System, 150 S. Huntington Ave (116B-3) Boston, MA 02130. E-mail: Jaimie.gradus@va.govSearch for more papers by this authorMichael K. Suvak Ph.D., Michael K. Suvak Ph.D. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychology, Suffolk University, Boston, MassachusettsSearch for more papers by this authorBlair E. Wisco Ph.D., Blair E. Wisco Ph.D. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychiatry, Boston University School of Medicine, Boston, MassachusettsSearch for more papers by this authorBrian P. Marx Ph.D., Brian P. Marx Ph.D. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychiatry, Boston University School of Medicine, Boston, MassachusettsSearch for more papers by this authorPatricia A. Resick Ph.D., A.B.P.P., Patricia A. Resick Ph.D., A.B.P.P. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts Department of Psychiatry, Boston University School of Medicine, Boston, MassachusettsSearch for more papers by this author First published: 01 May 2013 https://doi.org/10.1002/da.22117Citations: 34 Contract grant sponsor: National Institute of Mental Health; contract grant number: NIH-1 R01-MH51509. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Background Suicide is a significant public health problem. Although various studies have found evidence of posttraumatic stress disorder (PTSD) as a risk factor for suicidal behaviors, no study has examined whether or not PTSD treatment decreases suicidal thoughts. This study aims to fill this gap in the literature by examining changes in suicidal ideation over the course of a randomized clinical trial, which compared two widely used treatments for PTSD—cognitive processing therapy (CPT) and prolonged exposure (PE). Methods Data from 163 trial participants over five time points (pre- and posttreatment, 3 and 9 months posttreatment, and 5–10 years posttreatment) were examined using multilevel growth curve analyses to determine if reductions in PTSD symptoms during treatment were associated with reductions in suicidal ideation. Major depression diagnosis and hopelessness were controlled. Results Suicidal ideation decreased sharply during treatment with continued, but more subtle decreases, during the follow-up period. These decreases were associated with decreases in PTSD symptoms over the course of treatment. These associations were not accounted for by depression diagnoses at the start of the study or changes in hopelessness over the course of treatment. Conclusions Two widely used, effective treatments for PTSD reduce suicidal ideation. CPT exhibited a larger influence on suicidal ideation than PE, although the magnitude of the difference was small in size. Inclusion of PTSD screening and treatment could enhance suicide prevention efforts. Citing Literature Volume30, Issue10October 2013Pages 1046-1053 RelatedInformation