Decreasing Suicide Risk Among Service Members With Posttraumatic Stress
Suicide, Posttraumatic Stress Disorder
About this trial
This is an interventional treatment trial for Suicide
Eligibility Criteria
Inclusion Criteria:
- Adult (18 years or older) service members hospitalized at Carl R Darnall Army Medical Center for SI/suicide plan or attempt.
- Symptoms of posttraumatic stress (PTS) of at least moderate severity (total scores > 20) confirmed by assessor using the CAPS-5.
- Speak, read, and write English.
Exclusion Criteria:
- Active psychosis.
- The presence of moderate to severe cognitive impairment (as determined by the inability to comprehend the baseline screening questionnaires).
- The presence of any factor that may impair an individual's ability to comprehend and effectively participate in the study, including the presence of extreme agitation or violent behavior.
Sites / Locations
- Carl R Darnell Army Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Written Exposure Therapy -for Suicide
Treatment as Usual
Written Exposure Therapy-for Suicide (WET-S) consists of 5 treatment sessions. Each session includes a written exposure exercise. It also includes CRP. Participants assigned to WET-S will complete the CRP prior to beginning their writing in session 1. Patient use of the CRP since the previous session will be briefly reviewed at the start of each WET-S session to manage safety and problem solve fluctuations in risk during treatment.
The TAU condition consists of daily contact and patient centered care by the acute psychiatric inpatient unit provider team. TAU includes initial stabilization, nurse case management, medication management, psychoeducation groups, and discharge planning. Patients engage with the provider team daily.