Depression, Suicide
Conditions
Keywords
Suicide, Depression, Veterans, Cognitive Behavioral Therapy
Brief summary
This study plans to learn more about the use of one of two self-guided online cognitive behavioral therapy courses. One is focused on symptoms of depression and one is focused on history of suicidal thoughts and behaviors.
Detailed description
Based on previous work with other computerized CBT (cCBT) interventions (e.g., cCBT-D), which has found that cCBT has similar effectiveness to traditional CBT, members of the team along with Veterans Health Administration (VHA) leaders have developed computerized cCBT-SP and cCBT-D courses that will be ready for safety, feasibility, and acceptability testing. If proven to be feasible, safe, and effective, these courses could be made available to all Veterans, at no cost to users.
Interventions
BEHAVIORALc-CBT for Suicide Prevention
Online c-CBT for SP The computerized Cognitive Behavioral Therapy for Suicide Prevention (cCBT-SP) course is comprised of 12 online sessions and is augmented by use of a companion workbook.
BEHAVIORALc-CBT or Depression
The computerized Cognitive Behavioral Therapy for Depression (cCBT-D) course is comprised of 12 online sessions and is augmented by use of a companion workbook.
Sponsors
VA Eastern Colorado Health Care System
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Cognitive Behavioral Therapy for Suicide Prevention (cCBT-SP) or Cognitive Behavioral Therapy for Depression (cCBT-D)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
Cohort A - cCBT-SP Program Inclusion Criteria: 1. Veterans between the ages of 18 and 65 2. Currently living in Colorado, New York, Montana, Texas, or Utah who have accessed VA Care 3. Recent suicidal ideation (past month; C-SSRS Screener -Yes to Item 2) and history of lifetime suicidal behavior (lifetime, C-SSRS Screener - Yes to Item 6) 4. Reliable access to a computer/tablet and the internet 5. Ability to provide informed consent
Exclusion criteria
1. Active alcohol or substance use disorder, excluding Cannabis dependence, as determined by screening or electronic medical record 2. Identification of active psychosis or bipolar disorder, as determined via screening or electronic medical record 3. Severe cognitive impairment, as determined by screening or electronic medical record 4. Currently enrolled in/participating in another mental health-related intervention research study Cohort B - cCBT-D Program Inclusion Criteria: 1. Veterans between the ages of 18 and 65 2. Currently living in Colorado, New York, Montana, Texas, or Utah who have accessed VA care 3. Mild to moderate depressive symptoms, as determined by the PHQ-9, (score of 5-14) 4. Reliable access to a computer/tablet and the internet 5. Ability to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Client Satisfaction Questionnaire | 12 weeks | Acceptability |
| Internet Evaluation and Utility Questionnaire | 12 weeks | Acceptability |
| Internet Impact and Effectiveness Questionnaire | 12 weeks | Acceptability |
| Narrative Evaluation of Intervention Interview | 12 weeks | Acceptability |
| Recruitment Rate | 12 weeks | Number of individuals who consented to participate |
| Completion of intervention | 12 weeks | Number of participants who completed most or all of the sessions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Beck Scale for Suicide Ideation | 12 weeks | Change in suicidal ideation |
| Patient Health Questionnaire-9 | 12 weeks | Change in depression symptoms |
| Posttraumatic Stress Disorder Checklist-5 | 12 weeks | Change in PTSD symptoms |
| Generalized Anxiety Disorder-7 | 12 weeks | Change in anxiety symptoms |
| Computerized Adaptive Testing - Suicide Scale | 12 weeks | Change in suicidal ideation |
Countries
United States
Contacts
CONTACTKelly A Stearns-Yoder, MA
PRINCIPAL_INVESTIGATORLisa A Brenner, PhD
VA Eastern Colorado Health Care System
Outcome results
None listed