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Cognitive Processing Therapy + Crisis Response Plan for PTSD with Suicidal Thoughts

N/A
Waitlist Available
Led By Craig Bryan, PsyD
Research Sponsored by Ohio State University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline (pretreatment), 1 week, 2 weeks, 26 weeks, 52 weeks
Awards & highlights

Study Summary

This trial will test whether adding a crisis response plan to cognitive processing therapy can help reduce suicide ideation among suicidal veterans and prevent the development of suicide ideation among veterans who don't have it when they start the therapy.

Who is the study for?
This trial is for U.S. military veterans aged 18 or older who can speak and understand English and are able to consent to the study. Participants must have PTSD or subthreshold PTSD but cannot be at immediate risk of suicide requiring hospitalization, nor can they have a substance use disorder needing medical management.Check my eligibility
What is being tested?
The study tests if adding a Crisis Response Plan (CRP) to Cognitive Processing Therapy (CPT) helps reduce suicidal thoughts more quickly in veterans with PTSD. It also checks if this combination prevents new cases of suicidal thoughts during or after treatment.See study design
What are the potential side effects?
While not explicitly listed, potential side effects may include emotional distress due to discussing traumatic events during therapy sessions, which could temporarily increase symptoms like anxiety or depression.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline (pretreatment), 1 week, 2 weeks, 26 weeks, 52 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline (pretreatment), 1 week, 2 weeks, 26 weeks, 52 weeks for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in suicide ideation
Percent with follow-up suicidal behaviors
Secondary outcome measures
Change in PTSD symptoms
Change in psychiatric symptoms
Change in psychological well-being

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Crisis Response Plan (CPT+CRP)Experimental Treatment3 Interventions
Participants will receive cognitive processing therapy (CPT) for PTSD combined with a collaborative crisis response plan (CRP). The CRP includes many of the same elements as the safety plan (i.e., warning signs, self-management strategies, sources of social support, crisis services), but is created collaboratively by the patient with active input of their clinician rather than being self-guided. The CRP also includes a section focused on the participant's reasons for living, an addition that has been shown to increase positive emotional states (e.g., hope, optimism) and lead to faster reductions in suicidal intent. The CRP will be collaboratively created during the first therapy session.
Group II: Treatment As UsualActive Control2 Interventions
Participants will receive cognitive processing therapy (CPT) for PTSD combined with a self-guided safety plan. As a recommended standard care practice with suicidal patients, the combination of CPT and safety plan represents treatment as usual. The safety plan will be assigned during the first therapy session.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Cognitive Processing Therapy (CPT)
2019
Completed Phase 3
~1400

Find a Location

Who is running the clinical trial?

Ohio State UniversityLead Sponsor
828 Previous Clinical Trials
505,601 Total Patients Enrolled
Craig Bryan, PsyDPrincipal InvestigatorOhio State University

Media Library

Cognitive Processing Therapy (CPT) Clinical Trial Eligibility Overview. Trial Name: NCT04690582 — N/A
Post-Traumatic Stress Disorder Research Study Groups: Treatment As Usual, Crisis Response Plan (CPT+CRP)
Post-Traumatic Stress Disorder Clinical Trial 2023: Cognitive Processing Therapy (CPT) Highlights & Side Effects. Trial Name: NCT04690582 — N/A
Cognitive Processing Therapy (CPT) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04690582 — N/A

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there still vacancies for individuals to participate in this experiment?

"As indicated on clinicaltrials.gov, this trial has ceased patient recruitment. The study was first published in January 2021 and last updated in April 2022; however, there are over 200 other trials currently searching for participants."

Answered by AI

Who else is applying?

What state do they live in?
Ohio
How old are they?
18 - 65
What site did they apply to?
The Ohio State University
What portion of applicants met pre-screening criteria?
Met criteria
~35 spots leftby Apr 2025