Author:
Baker Justin C.,Grover Shawna,Gunn Laura H.,Charles Cindy,Rikli Heather,Franks Michael J.,Khazem Lauren R.,Williams Sean,Ammendola Ennio,Washington Cherita,Bennette Marquita,Starkey Austin,Schnecke Kelly,Cain Shannon,Bryan Craig J.,Cramer Robert J.
Abstract
Abstract
Background
Suicide is a pressing matter for the military. Not only does it pose a health risk, but suicide also compromises operational readiness. Despite provision of suicide prevention clinical best practices, the Department of Defense suffers several challenges (e.g., clinician shortages) limiting the agency’s ability to effectively respond to service member suicide. Implementation of evidence-based suicide-specific group therapy is a possible solution to service member well-being needs and system challenges. Service members can also gain coping skills useful beyond managing suicidal thoughts and behaviors.
Methods
This 2-arm non-inferiority randomized controlled trial compares a group therapy format of Brief Cognitive Behavioral Therapy (i.e., G-BCBT) with Dialectical Behavior Therapy (DBT) Skills Group. Both therapies are delivered in-person at a United States Naval Medical Center. Participants (N = 136) are active-duty service members with recent suicidal thoughts or suicidal behavior. Evaluation features electronically delivered questionnaires at baseline, after each treatment session, and at 3- and 6-month follow-up.
Discussion
The primary outcome concerns G-BCBT impacts on suicidal ideation. Secondary outcomes of interest are suicide attempt, psychological distress (e.g., symptoms of depression, anxiety), and self-regulatory skills (e.g., emotion regulation). We also examine self-regulatory skills as treatment moderators. Clinical trial strengths and limitations are reviewed.
Trial registration
This study was registered at Clinicaltrials.gov (protocol NCT05401838).
Funder
Congressionally Directed Medical Research Programs
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
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