Cognitive therapy for the prevention of suicide in military veterans
Keywords:
military veterans, suicide, cognitive therapy.Abstract
Introduction: Suicide is the leading cause of death among active veteran military personnel. Despite this, there are few therapies that address suicidality, and the development of new treatments is limited. In recent years, the use of cognitive therapy has been proposed.Objective: Analyze the efficacy of cognitive therapy in preventing suicide in military veterans.
Development: A review was carried out following the PRISMA regulations. The PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, and WOS databases were consulted. The Cochrane tool was used to assess the risk of bias and the quality of the evidence was assessed with GRADE. Cognitive therapy is effective in preventing suicide among military veterans. The total number of participants in the review was 668 individuals. The total number of sessions ranged from 6 to 10 and the follow-up of the program varied from 3 to 24 months.
Conclusions: Cognitive therapy prevents suicide attempts among military veterans with suicidal ideation or a recent suicide attempt. It also improves the quality of life of service members and their families, as well as their sleep pattern. It reduces depression, hopelessness, post-traumatic stress, symptom severity, the number of suicides and psychiatric hospitalizations.
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References
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11. LaCroix JM, Perera KU, Neely LL, Grammer G, Weaver J, Ghahramanlou-Holloway. Pilot trial of post-admission cognitive therapy: Inpatient program for suicide prevention. Psychol Serv. 2018; 15(3):279-288. DOI: 10.1037/ser0000224
12. Roberge EM, Bryan CJ, Peterson A, Rudd MD.J Affect Disord. Variables associated with reductions in insomnia severity among acutely suicidal patients receiving brief cognitive behavioral therapy for suicide prevention. 2019; 252:230-236. DOI: 10.1016/j.jad.2019.04.045
13. Ghahramanlou-Holloway M, LaCroix JM, Perera KU, Neely L, Grammer G, Weaver J, et al. Inpatient psychiatric care following a suicide-related hospitalization: A pilot trial of Post-Admission Cognitive Therapy in a military medical center. Gen Hosp Psychiatry. 2020; 63:46-53. DOI: 10.1016/j.genhosppsych.2018.11.006
14. Interian A, Chesin MS, Stanley B, Latorre M, St Hill LM, Miller RB, et al. Mindfulness-Based Cognitive Therapy for Preventing Suicide in Military Veterans: A Randomized Clinical TrialJ Clin Psychiatry. 2021; 82(5):20m13791. DOI: 10.4088/JCP.20m13791
15. Kelly MR, Robbins R, Martin JL. Delivering Cognitive Behavioral Therapy for Insomnia in Military Personnel and Veterans. Sleep Med Clin. 2019; 14(2):199-208. DOI: 10.1016/j.jsmc.2019.01.003
16. McLean CP, Levy HC, Miller ML, Tolin DF. Exposure therapy for PTSD: A meta-analysis. Clin Psychol Rev. 2022; 91:102115. DOI: 10.1016/j.cpr.2021.102115
17. Liu JJ, Ein N, Forchuk C, Wanklyn SG, Ragu S, Saroya S, et al. A meta-analysis of internet-based cognitive behavioral therapy for military and veteran populations.BMC Psychiatry. 2023;23(1):223. DOI: 10.1186/s12888-023-04668-1
2. Pak K, Ferreira KE, Ghahramanlou-Holloway M. Suicide Postvention for the United States Military: Literature Review, Conceptual Model, and Recommendations. Arch Suicide Res. 2019; 23(2):179-202. DOI: 10.1080/13811118.2018.1428704
3. McGeary DD, Resick PA, Penzien DB, McGeary CA, Houle TT, Eapen BC, et al. Cognitive Behavioral Therapy for Veterans With Comorbid Posttraumatic Headache and Posttraumatic Stress Disorder Symptoms: A Randomized Clinical TrialJAMA Neurol. 2022; 79(8):746-757. DOI: 10.1001/jamaneurol.2022.1567
4. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol. 2021; 19:26. DOI: 10.1016/j.jclinepi.2021.03.001
5. Mamédio C, Andrucioli M, Cuce M. The PICO strategy for the research question construction and evidence research. Rev Latino-Am Enfermagem. 2007; 15 (1):508-11. DOI: 10.1590/s0104-11692007000300023
6. Higgins JPT, Thomas J. Cochrane Handbook for Systematic Reviews of Interventions. 2.aed. WILEY Blackwell; 2019.
7. Aguayo-Aledo JL, Flores-Pastor B, Soria-Aledo V. Sistema GRADE: Clasificación de la calidad de la evidencia y graduación de la fuerza de la recomendación. Cirugía Española. 2014; 92(2):82-8. DOI: 10.1016/j.ciresp.2013.08.002
8. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016; 5(1):210. DOI:10.1186/s13643-016-0384-4
9. Rudd MD, Bryan CJ, Wertenberger EG, Peterson AL, Young-McCaughan S, Mintz J, et al. Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: results of a randomized clinical trial with 2-year follow-upAm J Psychiatry. 2015; 172(5):441-9. DOI: 10.1176/appi.ajp.2014.14070843
10. Kline A, Chesin M, Latorre M, Miller R, St Hill L, Shcherbakov A, et al. Rationale and study design of a trial of mindfulness-based cognitive therapy for preventing suicidal behavior (MBCT-S) in military veterans Contemp Clin Trials. 2016; 50:245-52. DOI: 10.1016/j.cct.2016.08.015
11. LaCroix JM, Perera KU, Neely LL, Grammer G, Weaver J, Ghahramanlou-Holloway. Pilot trial of post-admission cognitive therapy: Inpatient program for suicide prevention. Psychol Serv. 2018; 15(3):279-288. DOI: 10.1037/ser0000224
12. Roberge EM, Bryan CJ, Peterson A, Rudd MD.J Affect Disord. Variables associated with reductions in insomnia severity among acutely suicidal patients receiving brief cognitive behavioral therapy for suicide prevention. 2019; 252:230-236. DOI: 10.1016/j.jad.2019.04.045
13. Ghahramanlou-Holloway M, LaCroix JM, Perera KU, Neely L, Grammer G, Weaver J, et al. Inpatient psychiatric care following a suicide-related hospitalization: A pilot trial of Post-Admission Cognitive Therapy in a military medical center. Gen Hosp Psychiatry. 2020; 63:46-53. DOI: 10.1016/j.genhosppsych.2018.11.006
14. Interian A, Chesin MS, Stanley B, Latorre M, St Hill LM, Miller RB, et al. Mindfulness-Based Cognitive Therapy for Preventing Suicide in Military Veterans: A Randomized Clinical TrialJ Clin Psychiatry. 2021; 82(5):20m13791. DOI: 10.4088/JCP.20m13791
15. Kelly MR, Robbins R, Martin JL. Delivering Cognitive Behavioral Therapy for Insomnia in Military Personnel and Veterans. Sleep Med Clin. 2019; 14(2):199-208. DOI: 10.1016/j.jsmc.2019.01.003
16. McLean CP, Levy HC, Miller ML, Tolin DF. Exposure therapy for PTSD: A meta-analysis. Clin Psychol Rev. 2022; 91:102115. DOI: 10.1016/j.cpr.2021.102115
17. Liu JJ, Ein N, Forchuk C, Wanklyn SG, Ragu S, Saroya S, et al. A meta-analysis of internet-based cognitive behavioral therapy for military and veteran populations.BMC Psychiatry. 2023;23(1):223. DOI: 10.1186/s12888-023-04668-1
Published
2024-01-12
How to Cite
1.
Sánchez Lozano J, Martínez Pizarro S. Cognitive therapy for the prevention of suicide in military veterans. Rev Cubana Med Milit [Internet]. 2024 Jan. 12 [cited 2025 Aug. 28];53(1):e024025369. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/25369
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