Identifying suicidal subtypes and dynamic indicators of increasing and decreasing suicide risk in active duty military personnel: Study protocol.

Autor:	Brown LA; Center for the Treatment and Study of Anxiety, University of Pennsylvania, 3535 Market Street, 6th Floor, Philadelphia, PA, 19104, USA., Bryan CJ; National Center for Veterans Studies, 260 S. Central Campus Dr., Suite 3525, Gardner Commons, Salt Lake City, UT, 84112, USA.; Department of Psychology, The University of Utah, 380 S 1530 E BEH S 502, Salt Lake City, UT, 84112, USA., Butner JE; Department of Psychology, The University of Utah, 380 S 1530 E BEH S 502, Salt Lake City, UT, 84112, USA., Tabares JV; National Center for Veterans Studies, 260 S. Central Campus Dr., Suite 3525, Gardner Commons, Salt Lake City, UT, 84112, USA.; Department of Psychology, The University of Utah, 380 S 1530 E BEH S 502, Salt Lake City, UT, 84112, USA., Young-McCaughan S; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA., Hale WJ; Department of Psychology, The University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, 78249-1644, USA.; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA., Fina BA; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA., Foa EB; Center for the Treatment and Study of Anxiety, University of Pennsylvania, 3535 Market Street, 6th Floor, Philadelphia, PA, 19104, USA., Resick PA; Department of Psychiatry & Behavioral Sciences, Duke University, 1121 West Chapel Hill Road, Suite 201, Durham, NC, 27701, USA., Taylor DJ; Department of Psychology, University of Arizona, 1503 E University Blvd., Tucson, AZ, 85721, USA., Coon H; Department of Psychiatry, University of Utah School of Medicine, 30 N. 1900 E, Salt Lake City, UT, 84132, USA., Williamson DE; Department of Psychiatry & Behavioral Sciences, Duke University, 1121 West Chapel Hill Road, Suite 201, Durham, NC, 27701, USA.; Durham VA Health Care System, Medical Center, 508 Fulton Street, Durham, NC, 27705, USA., Dondanville KA; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA., Borah EV; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA.; Steve Hicks School of Social Work, The University of Texas at Austin, 1717 W. 6th Street, Suite 335 Austin, TX, 78703, USA., McLean CP; National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Rd., Palo Alto, CA, 94305, USA., Wachen JS; National Center for PTSD, VA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA, 02130, USA.; Boston University School of Medicine, Department of Psychiatry, 720 Harrison Avenue, Boston, MA, 02118, USA., Pruiksma KE; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA., Hernandez AM; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA.; Valiant Mental Health PLLC, 219 E. Locust Street, San Antonio, TX, 78212, USA., Litz BT; Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA, 02130, USA.; Boston University School of Medicine, Department of Psychiatry, 720 Harrison Avenue, Boston, MA, 02118, USA.; Department of Psychological & Brain Sciences, Boston University, 64 Cummington Mall, Boston, MA, 02215, USA., Mintz J; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA., Yarvis JS; Department of Behavioral Health, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue Fort Hood, TX, 76544-4752, USA., Borah AM; Department of Behavioral Health, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue Fort Hood, TX, 76544-4752, USA.; Department of Behavioral Medicine and Health Services, Central Texas Veterans Health Care System, 1901 Veterans Memorial Dr, Temple, TX, 76504, USA., Nicholson KL; Department of Medicine, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue Fort Hood, Texas, 76544-4752, USA., Maurer DM; Department of Family Medicine, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue Fort Hood, TX, 76544-4752, USA.; Army Medical Education Directorate, Office of the Surgeon General, Defense Health Headquarters, 7700 Arlington Blvd., Falls Church, VA, 22042, USA., Kelly KM; Department of Family Medicine, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue Fort Hood, TX, 76544-4752, USA.; Office of the Army Surgeon General, Falls Church, VA, USA., Peterson AL; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA.; Research and Development Service, South Texas Veterans Health Care System, 7400 Merton Minter, San Antonio, TX, 78229, USA.; Department of Psychology, The University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, 78249-1644, USA.
Jazyk:	angličtina
Zdroj:	Contemporary clinical trials communications [Contemp Clin Trials Commun] 2021 Feb 16; Vol. 21, pp. 100752. Date of Electronic Publication: 2021 Feb 16 (Print Publication: 2021).
DOI:	10.1016/j.conctc.2021.100752
Abstrakt:	Objectives: Several recent studies have demonstrated that posttraumatic stress disorder (PTSD) and insomnia treatments are associated with significant reductions in suicidal ideation (SI) among service members. However, few investigations have evaluated the manner in which suicide risk changes over time among military personnel receiving PTSD or insomnia treatments. This paper describes the study protocol for a project with these aims: (1) explore potential genetic, clinical, and demographic subtypes of suicide risk in a large cohort of deployed service members; (2) explore subtype change in SI as a result of evidence-based psychotherapies for PTSD and insomnia; (3) evaluate the speed of change in suicide risk; and (4) identify predictors of higher- and lower-risk for suicide. Methods: Active duty military personnel were recruited for four clinical trials (three for PTSD treatment and one for insomnia treatment) and a large prospective epidemiological study of deployed service members, all conducted through the South Texas Research Organizational Network Guiding Studies on Trauma and Resilience (STRONG STAR Consortium). Participants completed similar measures of demographic and clinical characteristics and subsets provided blood samples for genetic testing. The primary measures that we will analyze are the Beck Scale for Suicide Ideation, Beck Depression Inventory, and the PTSD Checklist for DSM-IV. Discussion: Results from this study will offer new insights into the presence of discrete subtypes of suicide risk among active duty personnel, changes in risk over time among those subtypes, and predictors of subtypes. Findings will inform treatment development for military service members at risk for suicide. (© 2021 The Authors.)
Databáze:	MEDLINE
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