• Anthony H Ecker, Adrienne L Johnson, Shubhada Sansgiry, Terri L Fletcher, Natalie Hundt, Nancy J Petersen, Alison C Sweeney, Angelic D Chaison, Kaki M York-Ward, Michael R Kauth, Mark E Kunik, and Jeffrey A Cully.
• Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030, USA; VA South Central Mental Illness Research, Education and Clinical Center (a virtual center), USA; Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. Electronic address: Anthony.Ecker@va.gov.
• Gen Hosp Psychiatry. 2019 May 1; 58: 27-32.

ObjectiveWe evaluated the effect of brief cognitive behavioral therapy (bCBT) on suicidal ideation among medically ill veterans receiving mental health treatment in primary care.MethodsSecondary 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.ResultsParticipants 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.ConclusionbCBT in primary care reduces suicidal ideation and may help prevent future suicidal ideation.Published by Elsevier Inc.

37 keywords...

hide…